Online Application (1) - UN

2nd US-China Youth Summit

Last Name
First Name
Your University or Job Affiliation
Title
Phone
Email
Address
Country of Citizenship
Date of Birth (dd/mm/yy)
Age as of August 9, 2009
Have you ever attended a Youth Assembly before	yes no
If yes, which one	20042005200620072008
Are you currently affiliated with an NGO	yesno
If yes, which one
If yes, please explain the nature of your work in the organization
Statement of Purpose
Resume or more about you