Application form for Youth participation to the 6th World Water Forum

Application form for Youth participation to the 6th World Water Forum
Name

First NameLast Name
Sex
Nationality
Birth Date

DayMonthYear
Occupation
If Other, please specify :
If you're currently working, please specify job title and organization if relevant
University
Current/ last degree
Research topic / Domain of interest linked with water

max 40 words0/40
E-mail
Telephone Number

CodeTelephone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Why do you wish to attend the Forum? What skills and personal experiences make you a good representative of your generation at the Forum?

100 words max0/100
Would you like to present your solution/research/project in a presentation session ? (15 min presentation / 20 min Q&A)
If yes, on which topic?

40 words max0/40
To which discussion panel would you like to take part to? Please select 3
What is your solution? To which priority actions mentioned does it respond? Describe your solution and the value/contribution it brings. How does it address one or several priority issues set up by the Forum? Please answer this question with attention. Your application will mainly be evaluated on your proposal.

400 words max0/400
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