Apply now for New Zealand’s Delegation to the Youth Assembly!

Fill in the form below to apply today.

APPLICATIONS DUE 31 MAY 2019 AT 5PM (NZ TIME)

 
Name *
Name
Date of Birth *
Date of Birth
MM-DD-YYYY
Gender *
This should be the same as the passport you will travel on.
Do you require a U.S. visa to attend The Youth Assembly? *
Please state accurate information.
Please spell out the name completely. No abbreviations or acronyms.
Select your top three (3) Sustainable Development Goals. *
Acknowledgement *
Registration Fees
FIRST INSTALLMENT FEE: $250.00 NZD DUE TODAY The first installment fee will be processed at the time of application. Please note that the first instalment fee is non-refundable and non-transferable for all accepted applications. In the event that an application does not meet our eligibility requirements, the applicant will be notified by email and will be issued a refund. SECOND INSTALLMENT FEE: Remaining Balance PAY TODAY OR DUE BY END OF JUNE
Payment Method *
Bank Deposit *
EMPOWER YOUTH TRUST 38 9018 0682821 00 Use your name as the reference and email confirmation of payment to ceo@empoweryouth.org.nz