Waste to Wealth Application Form

Waste to Wealth Application Form

The Waste to Wealth Project by Green Cosmos Zambia, funded by ACT Ubumbano, transforms waste into resources through recycling, upcycling, and green entrepreneurship. It empowers youth and women with skills in eco brick, charcoal briquettes, petrol and many more production, composting, and waste management while promoting community clean-ups and sustainability. In partnership with Ministry of Green Economy and Prudence B2B, the project ensures international data standards and fosters climate-smart building practices.
The participation fee is K150. This fee will be used to print your program shirt once you are shortlisted. Please note that this payment is mandatory. If you are not certain about your participation, kindly do not proceed with the application.
Section A: Personal Information
Applicant Name

First NameLast Name
Applicant Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip CodeCountry
Mobile
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Gender
Date of Birth

MonthDayYear
Date
Program ID
Section B: Background & Experience
Education
Current Status
Have you participated in environmental or community activities before?
If Yes: Describe briefly (150 Words Max.)
What waste management challenges do you see in your community? (250 Words Max.)
Section C: Motivation & Expectations
Why do you want to participate in the Waste to Wealth Workshop? (250 Words Max.)
How do you plan to use the skills and knowledge gained after the workshop? (250 Words Max.)
Are you able to attend all four days of the program, including the awarding ceremony which will take place on World Environment Day and will be graced by the Minister of Green Economy and Environment?
Section D: Skills & Future Plans
Do you have any prior experience in any of the following?
Would you like mentorship or follow-up support after the workshop?
In your own words, what does “turning waste into wealth” mean to you? (250 Words Max.)
Please upload your portrait picture

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Section E: Consent & Declaration
I declare that the information provided is true and correct, and I agree toparticipate actively in the workshop.
Signature
Should be Empty:

Waste to Wealth Application Form

Section A: Personal Information

Section B: Background & Experience

Section C: Motivation & Expectations

Section D: Skills & Future Plans

Section E: Consent & Declaration