Application Form For Groups

Application Form for Groups

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Group Name:

Group Leader Name: 

Family Given Middle

Country of operation:

Anticipated number of people in your group:
You must have 12 members or more to be eligible for a group application fee.

Have you or any of your members attended a YA session before?
 yes no - If yes, which one?

1st/2004 2nd/2005 3rd/2006 4th/2007 
5th/2008 6th/2009 7th/2010  8th/2011
9th YA 10th YA

Please explain the nature of the work your organization does.
(Please limit your answer to 300 words.)

Please explain the nature of the work you do within this organization.
(Please limit your answer to 300 words.)

Which MDG area is the primary focus of your group's interest?

Please explain why. (Please limit your answer to 300 words.)

Please tell us why your group wishes to attend the Youth Assembly:

- What would you like to accomplish while there?

- What do you hope to gain from the experience?

- What do you plan to do with this when you return to your home country?

- What do you bring to the table?

Group Leader Email Address:

Group Leader Phone Number: 

 - -
(country code - area code - phone #)

Please make sure you answered each & every question above thoughtfully and in detail. Incomplete application forms will not be reviewed. Your answers will determine whether or not you will be invited to participate in the Youth Assembly, so give each of them thought and make your replies clear and concise.

Applications will be assessed according to the potential and interest you bring to your fellow delegates, not so much your record - so don't worry about past achievements but focus on your future plans!

Application processing fees apply!

  • Groups of 12 or more people: $65 per person ($55 LDCs)
    Group leaders must be able to pay for all applicants in one sum.

The application processing fee is non-refundable, regardless of whether or not you are accepted to participate in the Assembly. 
We would like to remind you that we have to receive your registration fee net (after bank tax or fee). Thus we kindly ask you to cover the costs of the transfer.
No applications will be reviewed until payment is received!