1. Personal details

Please complete all sections of this form to the best of your ability. The Global Changemakers team will primarily use the information you provide to select participants for the Global Youth Summit 2017 in Switzerland 16-20 July 2016.  We shall also use information and data confidentially and for statistical purposes:

- to help us improve the overall quality of this project, including sharing relevant information with our partners, and
- for publicity purposes.
Do note that we will only consider an application complete when the video application, the application fee and the written application are submitted. Also note that due to the large amount of applications we receive, the video application is the key for being short-listed and that we will only read written applications for shortlisted candidates.

* 1. Family name

* 2. First name(s)

* 3. Date of birth
(Please note that applicants need to be between 18 and 23 years old on the first day of the summit.)

You must have been born between 1994 and 1999.

* 7. E-mail address

* 8. Skype address (if available)

* 9. Do you have a valid passport? If so, what is your passport number?

* 11. All the workshops and discussions at the GYS-2017 will be held in English. How would you rate your English proficiency?