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Application Form: Paving the Future Youth Forum

Application form
Family name, given name Date of birth Nationality Gender Home address (incl. country) Contact telephone number (incl. international code) Contact e-mail address Have you taken part in any previous British Council projects? If so, which ones?

Educational background

Have you ever travelled or worked outside your country? If so, which countries have you visited?

The United Kingdoms international organisation for educational opportunities and cultural relations. We are registered in England as a charity.

What communities and networks are you active in?

Volunteer work, community work & activism

What areas does your community work/activism cover? _ _ _ _ _ _ _ _ _ Children and Youth Civic Participation Communication Culture Education Entrepreneurism Environment Food Health and Disabilities _ _ _ _ _ _ _ _ _ Homelessness Human Rights Labour Conditions and Unemployment Technology Transportation Waste Management & Recycling Water Women's Rights Other: ___________________________

Other work experience

Tell us in 4-5 sentences about your activism or community work. What do you do? What is most noteworthy about this work? What is most gratifying or most difficult?

We may be using quotes from your application form for publicity purposes. We may also use the information you provide for the purpose of administering the Global Changemakers project and to obtain data on the audience we are reaching, and we may share some of the information with the WEF. If you DO NOT want your application to be used for these purposes please tick the box. I DO NOT want any material from my application to be used except in the selection process. We may contact you to inform you of other British Council activities, events and services that may be of interest to you. If you DO NOT wish to be contacted for this purpose please tick the box. Please remember that if you tick the box we will be unable to provide you with information about future events and promotional activities. I DO NOT wish to be contacted. Date: Signature: ________________________________________

Data Protection 1998 Notice The British Council will use the information you have given on this form to select participants for the Global change maker project Your information will be shared at this stage only with individuals selecting candidates for the forum. By submitting this form you consent to our processing sensitive personal data about you where this is necessary, for the purpose above. You also agree that that we may share your information among our offices around the world where this is necessary for the above purpose. Your records will continue to be handled in accordance with our data protection policy. You have the right to ask for a copy of the information we hold on you, for which we will charge a fee. Contact the Data Protection Officer by e-mail at: dataprotection@britishcouncil.org or send in your request to: Data Protection Officer British Council 10 Spring Gardens London United Kingdom SW1A 2BN If you feel that the information we hold about you is inaccurate please contact the British Council. Please return the completed form to: mohammed.shawish@britishcouncil.org