Application form for Youth participation to the 6th World Water Forum

Application form for Youth participation to the 6th World Water Forum
Name*

First NameLast Name
Sex*

FM
Nationality*
Birth Date*

DayMonthYear
Occupation*
If Other, please specify :
If you're currently working, please specify job title and organization if relevant
University*
Current/ last degree*
Research topic / Domain of interest linked with water*

max 40 words0/40
E-mail*
Telephone Number*

CodeTelephone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Why do you wish to attend the Forum? What skills and personal experiences make you a good representative of your generation at the Forum?*

100 words max0/100
Would you like to present your solution/research/project in a presentation session ? (15 min presentation / 20 min Q&A)*

YesNo
If yes, on which topic?

40 words max0/40
To which discussion panel would you like to take part to? Please select 3*

1.1 Guarantee access to water for all and the Right to water1.2 Improve access to integrated sanitation services for all1.3 Contribute to hygiene and health through water and sanitation1.4 Prevent and respond to water-related risks and crises1.5 Contribute to Cooperation and Peace through water2.1 Balance multiple uses through Integrated Water Resource Management2.2 Contribute to food security by optimal use of water2.3 Harmonize water and energy2.4 Promote green growth and value ecosystem services3.1 Improve the quality of water resources and ecosystems3.2 Adjust pressures and footprints of human activities on water3.3 Respond to climate and global changes in an urbanizing worldCS1 Good GovernanceCS2 Financing Water for AllCS3 Enabling Environments
What is your solution? To which priority actions mentioned does it respond? Describe your solution and the value/contribution it brings. How does it address one or several priority issues set up by the Forum? Please answer this question with attention. Your application will mainly be evaluated on your proposal.*

400 words max0/400
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