PARTICIPANT'S INFO | International Youth to Youth Summit 2017

Date of birth *

(DD/MM/YYYY)

Your first and family name *

(as in Passport)

Citizenship *

Current place of residence *

Current occupation *

(give details of the current post)

Education *

(highest level of education and major)

Do you need a visa to attend the event in Dubai, UAE? *

Yes

No

Where and when has your passport been issued? (we will need this information for the invitation to the event) *

Passport Number *

Expiry date of the passport *

Authority that your passport has been issued by

Personal Number, if you have one

Email *

Skype ID *

Emergency contacts *

Food restrictions or allergies *

Disabilities and Medical Conditions (if you require an assistance) *

(if you require an assistance)

Link to your professional account (Linkedin/Goldenline, etc.)

(Linkedin/Goldenline, etc.)

Link to your social media account

(Facebook/Twitter/Youtube, etc.)

Do you have any project in ICT field? Have you developed any Apps or ICT Platforms? If yes, please provide details *

Tell us about your leadership experience *

(maximum 200 words)

The world is becoming more and more interconnected and complex. If you had a power to solve one particular challenge (such as poverty, water sanitation, or gender inequality) by means of ICTs and social innovation, what would you choose and why? *

(maximum 200 words)

What is your idea of the role of ICT’s in youth development? *

Please tell us two of your personal or professional achievements related one of the Summit’s topics (projects/organizations/initiatives you founded/lead, your publications, prizes and awards, etc.) *

(maximum 150 words)

Why would you like to participate in the 3rd International Youth to Youth Summit and why should you be selected? *

(maximum 200 words)

Tell us one innovative and unique example of how ICTs are being used in your country to improve the life of community? *

(maximum 200 words)

The Summit open ups the opportunity for youth activists to take part in Y2Y Action Hub - an innovative online incubator that is designed to develop and implement your socially-beneficial idea or project related to the field of ICT’s for free (planned or already running). If you are interested to be considered (Y2Y Action Hub gives an amazing opportunity to develop and implement ideas and projects for free, as well as to use all sorts of technical resources, mentorship/expertise, HR, access to global network, exposure, promotion, partnership, and others), please pitch your project in 100 words and provide the links to full description/created pages or developed plans and strategies, timescale, the indication of the project’s short and long term aims, objectives and planned outreach, partners, your team, geographical scale of the project and the mentorship requested from Youth to Youth Initiative). If you don’t have your own project, would you like to develop or join one? Please describe. (This question id non obligatory for all the participants) *

How can you enrich Y2Y Alumni Network? What follow-up activities can you do after you come back home? *

(200 words limit)

Please highlight the sector you are interested in:

By sending this form you agree to pay participation fee of 300 Euro that includes your accommodation, food and local transportation. Participation fee doesn’t cover your travel expenses. Throughout the selection process, we will grant some potential participants with travel scholarships and will be able to provide reduced rate of participation fee. If you are an exceptional leader from your community using ICT’s to improve its life, but not able to rise the funds for your own travel to Dubai and/or pay participation fee, please mark your application here and we will contact you separately. *

I agree

But note that we will require a confirmation of your financial statement to make a decision.

Y2Y Online Application