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Apply for Youth Membership

Join our growing network of young people making a difference in Uganda.

Membership Application Form

All fields marked with * are required

First Name *

Last Name *

Date of Birth *

Gender *

Nationality *

Email Address *

Phone Number *

Alternative Phone

District/Region *

Physical Address

Full Name *

Email Address

Phone Number *

Religion *

Tribe/Ethnicity *

Highest Education Level *

Current Status *

School/Institution/Organization

Which areas interest you most? *

Health & Wellness Education & Skills Entrepreneurship Advocacy & Leadership Sports & Recreation Technology & Innovation

What skills would you like to share? *

What do you hope to gain from membership? *

I agree to the Membership Code of Conduct *

I would like to receive updates about events and programs