UNICEF Ireland Activitsm Course Application

Thank you for choosing to apply for the UNICEF Child Rights Champion’s Programme. This form serves as both your application and a consent form, so please make sure to complete it together with your parent or guardian. We’ll need the following information to confirm your commitment and ensure all necessary permissions are in place for your participation. Let’s get started!

Step 1 of 3 - Student details

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.

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

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

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)

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UNICEF Ireland
Activitsm Course Application

UNICEF Ireland Activitsm Course Application

Participant Information

School information

Commitment Agreement:

Statement of Commitment

Pre-Event Engagement

Questions or Topics of Interest

Future Opportunities

Parental/Guardian Consent

Additional Information

Accessibility Needs

Stay Informed and Make a Difference