Citizen of the Ocean Youth-Led Forum: Registration Form
In collaboration with Nausicaa and the Youth4Ocean Forum, WWF NZ and Save the Children NZ are calling for ocean enthusiasts and champions aged between 16 to 30 years old from across the Pacific region to take part in the Citizen of the Ocean Youth-Led Forum; five monthly online workshops addressing the Ocean Decade Challenges of the United Nations Organisation.
Name
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Surname
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Date of birth
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Month
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Day
Year
Date
Gender
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Email address
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Phone number (including your country dialing code)
Country of residence
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Nationality
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Field & level of education (highest educational diploma/certificate)
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Your current occupation
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Languages you can speak fluently (list your mother tongue first)
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Do you commit to volunteering your time to participate in four online workshops?
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Yes
No
Do you commit to volunteering your time to engage with the pre-reading materials before the workshops?
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Yes
No
Tick all the workshop dates that you are available for
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Tuesday 15th October, 7pm to 8:30pm
Tuesday 5th November, 7pm to 8:30pm
Tuesday 19th November, 7pm to 8:30pm
Tuesday 10th December, 7pm to 8:30pm
I am not free for these workshop dates
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Would you describe yourself as:
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ocean activist
scientist
artist
educator
employed
entrepreneur/business owner
sportsperson
student
other
Please choose three of the most important topics for you from the list:
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Protect and restore marine ecosystems and biodiversity
Unlock ocean-based solutions to climate change
Understand and beat marine pollution from source to sea
Develop a sustainable and equitable ocean economy
Change humanity’s relationship with the ocean
What is the sea/ocean/river you feel most related to? Why? Please explain (50 words)
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Please explain why you would like to participate in the Citizen of the Ocean Youth-led Forum (50 words)
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What do you expect from participating in the Citizen of the Ocean Youth-led Forum? (50 words)
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Would you like to be considered for the volunteer role of youth facilitator? Being a youth facilitator would allow for you to shape how the content is delivered, and to work closely with WWF and Save the Children NZ to ensure that the workshop series is youth-led and youth-informed.
Yes
No
If yes, please outline your previous experience as a facilitator and/or working with groups of young people
Is there anything else you would like us to know?
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Legal Notice and Privacy Statement
You may at any time exercise your rights of access, rectification, deletion and portability of your data, and the limitation or opposition to their processing, as well as request more information about the processing of your data, by contacting: Nausicaa, Centre National de la Mer, International Projects and Exhibitions, Boulevard Sainte Beuve, BP189, 62203 Boulogne sur Mer Cedex, France. E-mail: youth4ocean@nausicaa.fr Phone: +33 3 21 30 99 99
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I have understood the Legal Notice and Privacy Statement and I agree to their terms.
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Rights to images and content
By submitting this form, you grant the organisers of the Citizen of the Ocean Youth-led Forum a non-exclusive, royalty-free, worldwide licence to use, store and publish the texts, photos, videos or other material to communicate to the public for non-commercial purposes. Such use may include (but is not limited to): papers (like brochures, information leaflets, posters, flyers, etc.), in any press kits, mailings, newspapers, magazines and books; digital publications on social media and on websites of the Citizen of the Ocean Youth-led Forum organisers.
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I have understood Rights to images and content and I agree to their terms and conditions.
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