Youth Assembly at the United Nations

		Millennium Development Goals
	Early August, 2011 @ UN Headquarters, NYC		Your chance to shape the future!

Engaging Tomorrow's Leaders Today	Youth Led Development

The Annual, Global Event Focusing on Idea Leadership

APPLICATION FORM
FOR INDIVIDUALS

9th Annual Youth Assembly
at the United Nations

Applications are accepted until: June 15

Key Dates*

» June 15:
YA Registration Deadline

» June 20:
YA Conference Package Reservation Deadline

» July 30 - Aug 1:
Pre-YA Leadership
Seminar

» August 2, 2011
Orientation

» August 3-5, 2011
Youth Assembly at the United Nations

» August 3*, 2011
MDG Campaign Night

Endorsed and supported by Permanent Missions to the United Nations
and affiliated NGOs

Lead Endorsers in 2011 are the Permanent Mission of Australia (January) and the Permanent Mission of South Africa (August) to the United Nations

_________________

Directed by

Friendship Ambassadors Foundation, Inc.

A not for profit, tax-exempt NGO, affiliated with the United Nations Department of Public Information

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Name:
	Family	Given	Middle

Country of citizenship:

Date of Birth:
	month	day	year

Age as of January 20, 2011:

Have you 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

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Are you currently affiliated with an NGO (non-governmental organization)?

yes no - If yes, which one?

If yes, 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 interest?

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

Please tell us why you wish 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?

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Email Address:

Phone Number:	- -
	(country code - area code - phone #)

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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!

Regular applications: $100
Least Developed Countries: $65
Delegates from these countries must present their identification card at the registration desk prior to the Assembly to verify their eligibility for the reduced fee in order to receive their entrance passes. Delegates who fail to verify their eligibility will be required to pay the difference plus $5 handling fee on spot or be denied admittance to the Assembly.

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!

» August 4*, 2011
YA Culture Night

» August 5*, 2011
YA Closing Night Farewell Dinner

» August 6-7, 2011
Weekend of Service and Networking, NYC

» Aug. 8 -10, 2011
Emerging Leaders Global Seminar at Fairleigh Dickinson University, Florham

*subject to change

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