If you are under 18 years old we require the consent of a parent or guardian
Your answer
Parents of guardian email address
If you are below 18 years old we require the consent of a parent or guardian
Your answer
Home address *
Please include, street address, suburb, city, province, country and postal code
Your answer
What are your goals with regards to self improvement this year? How do you think Young Speakers Model can help you? *
Your answer
On a Scale of 1-5 how confident are you about public speaking? *
0 is "Not confident" and 5 "very confident"
How will public speaking help you in your life and/ career? *
Your answer
How many books do you read in a year? *
Your answer
Our classes are held twice a month. Will this work with your schedule? *
Would you like to be a member of One Africa Forum? *
Consent *
By signing this form I accept that I have the legal consent to act as/on behalf the applicant with the above information and I consent to the organization to use the information. I undertake to commit myself fully to all responsibilities that may be required of me by the organization including payments of fees due.
Required
Disclaimer *
All materials used or gained during any session or event remain the property of the organization and must not be used or reproduced with prior express consent from the organization.