UNICEF Ireland Activism Course Application

This form is your application and also asks for permission to collect and use your information. If you are under 16, we will need your parent or guardian to complete this form with you. We will use the information you give us to confirm your participation and make sure we have all the right permissions.

Participant Information

Name(Required)

First Last

Age(Required)

Gender(Required)

Email(Required)

Phone(Required)

School information

School(Required)

Teacher/TY Coordinator Name(Required)

First Last

Teacher’s email address(Required)

County(Required)

Preferred Training Date(Required)

Please note that these courses fill up quickly and we will operate a waitlist. A max of 2 people from any one school will be accepted and we ask that you only sign up to one course.

For Parents if child under 16:
By completing this form with your child, you are giving consent for UNICEF Ireland to collect and use your child’s data for the purpose of participating in the Child Rights Champion’s Programme. For further information about UNICEF’s data management practices, please see our privacy policy.

For Children aged 16 and over:
By completing this form, you are giving consent for UNICEF Ireland to collect and use your data for the purpose of participating in the Child Rights Champion’s Programme. For further information about UNICEF’s data management practices, please see our privacy policy.

Commitment Agreement:

Statement of Commitment

Pre-Event Engagement

Would you like to participate in a pre-event online meeting to get to know other participants and learn more about the training?(Required)

Yes

No

Questions or Topics of Interest

Do you have any specific questions or topics you would like covered in the training?

Future Opportunities

Would you like to receive information about future UNICEF events and training opportunities?(Required)

Yes

No

Note: we do not share your details with anyone, and we will not contact you for any other reason. Your information is automatically deleted 2 years after signing up.

Parental/Guardian Consent

This section to be filled by the parent

Parent/Guardian Name(Required)

First Last

In case of an emergency please telephone me at(Required)

Additional Information

Accessibility Needs

Do you have any accessibility or additional needs we should be aware of?

Dietary Restrictions (for in-person training): Please list

After submission, you will receive a confirmation email with further details about the training, including a detailed agenda and any pre-training materials.