SCHOLARSHIP APPLICATION
Full name *
Date of Birth *
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YYYY
Age *
Sex
City/Town *
Region/State/County *
Country *
Phone *
Email *
Name of organization *
Type of Organization
Facebook
Other social media
Did you or anyone from your organization participate in the maiden summit? *
Type of scholarship request ? *
In three hundred words or less explain why you feel deserving of the scholarship - please describe two or three involvements in community activities or on the SDGs. *
What skills do you have that could contribute to the summit? E.g. volunteer your time, a blogger (write an article about the SDGs/summit or social media support etc. *
Special dietary requirement (Please give details of any dietary requirements) *
Special Disability Requirements (Please give details)
Translation Requirement: The summit will be held in English. Simultaneous translation will be provided in French. Please provide details of any translation needs.
CANCELLATION AND REPLACEMENT POLICY
• If for any reason confirmed delegates cannot attend the summit, replacement is allowed. In such cases, substituted names can be submitted to the summit secretariat to effect any changes. Please email us at youthsdgssummit@gmail.com
• If substitution is not possible, delegate can request refund and the following dates and percentages will be refunded excluding onward transfer charges:
o 1st June 75 %
o 1st September 50%
o No refund after 15th October.
o The organizers will NOT bear any charges for any refund transfer.
Photographs, Audio, and Video Consent
By registering to attend this summit, you consent to interview(s), photographs, audio recordings, video recordings and its/their release, publication, exhibitions, reproduction to be used for news, web casts, promotional purposes, telecasts, advertising, inclusion on websites, social media and any other purpose to promote the African Youth SDGs Summit. For further information, please email us youthsdgssummit@gmail.com
DEADLINE FOR EARLY BIRD REGISTRATION: 25TH June 2018.
*I have read, understood, and agree to the summit terms and conditions*. *
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