Online Application

This is the official application form for International Youth Leadership: Africa, Cape Town 2007. The official dates for this coming conference are January 21st to the 26th, 2007.

Please read over the following information carefully before submitting your application. If you have any questions, simply send an email to applications_africa_2007@civicconcepts.org and you will be answered promptly.

The deadline for the next round of acceptances is Friday December 15^th, 2006.  If we receive your completed application (including the short essays) by that date, you will receive email notification of your acceptance status by Monday, December 18^th, 2006.  If accepted you will be provided with complete details regarding the reservation of your place at the conference and the procedure for student fee payment.

The Application Process:

Conference participants will be selected according to the following three criteria:

• Educational Background (Year, Grade Point Average and Area of Study)
• Level of English (as a Second Language)
• Two Short Essays (both are required)

Essay Topics:

• In your opinion what are the greatest challenges facing the peoples of Africa?
• What ideas do you have for overcoming these challenges?

Essays should be approximately 250 words each and will be judged according to the following three criteria:

• Creativity
• Recognition of leadership qualities
• Persuasive writing style

The short essays do not have to be submitted at the present time. However, we do need to receive them in order to continue with the evaluation of your application. Therefore, we recommend that you email them to us at applications_africa_2007@civicconcepts.org as soon as possible.

Participation Fees

The one-time student fee covers tuition, 5 nights accommodation in Cape Town, all conference-related meals, local transportation, field trips, and organized activities, a friendly airport greeting, an International Youth Leadership Africa diploma and a closing ceremonies gala evening followed by an end-of-conference private party.
Your only extra costs will be for your own personal souvenir shopping in Cape Town, your consumption of additional food and drink and any extra nights you would like to spend in Cape Town before or after the Conference.
Flights are not included in the Participation Fee.

CONFERENCE PARTICIPATION FEE: €690 Click here to review our refund policy. Civic Concepts International is offering need based scholarships and delegation rates to Universities that are members of the IYLN.

Arriving in Cape Town:

All international students will be met by a friendly and helpful conference representative at Cape Town International Airport and escorted to the conference facility. If you are arriving by train or bus, you will also be met at the corresponding bus or train station in Cape Town. .

It is highly recommended that students budget to stay at least a couple of extra nights in Cape Town and South Africa before or after the conference. The accommodation is reasonably priced, there are many tours and safaris, and South Africa is full of sites that have to be experienced.

Application Form:

Please Note that all fields marked with a * are required.

Given Name:	*
Middle Name (or Initial):
Family Name:	*
Gender:	Female   Male *
Age:	Select >> 17 18 19 20 21 22 23 24 25 26 27 *
Date of Birth:	Day: Select >> 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   *  Month: Select >> January February March April May June July August September October November December   *  Year: Select >> 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990   *
Citizenship:	Select >> Afghanistan Albania Algeria Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canada Cape Verde Central African Republic Chad Chile China Colombia Comoros Congo Congo (Democratic Republic) Costa Rica Croatia Cuba Cyprus Cyprus (Turkish Rep of Northern Cyprus) Czech Republic Denmark Djibouti Dominica (Commonwealth of) Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia The Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland (Republic of) Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea DPR (North Korea) Korea Republic of (South Korea) Kosovo (FRY) Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands Netherlands Antilles New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russian Federation Rwanda St Helena St Kitts and Nevis St Lucia St Vincent Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Surinam Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Yemen Yugoslavia Zambia Zimbabwe *
Nationality (if different from Citizenship):>
IYLC or Insight: Dubai Alumni:	Yes   No * If no, please enter name of professor who recommended you
Current Postal Address: NOTE: If you are accepted, we will send your official signed acceptance letter & other conference materials to this postal address. Please verify that this information is accurate.	Street: * Street: City: * Province / State: Postal Code: Country: Select >> Afghanistan Albania Algeria Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canada Cape Verde Central African Republic Chad Chile China Colombia Comoros Congo Congo (Democratic Republic) Costa Rica Croatia Cuba Cyprus Cyprus (Turkish Rep of Northern Cyprus) Czech Republic Denmark Djibouti Dominica (Commonwealth of) Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia The Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland (Republic of) Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea DPR (North Korea) Korea Republic of (South Korea) Kosovo (FRY) Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands Netherlands Antilles New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russian Federation Rwanda St Helena St Kitts and Nevis St Lucia St Vincent Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Surinam Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Yemen Yugoslavia Zambia Zimbabwe
Primary Email Address:	*
Secondary Email Address:
Telephone Number:	*
Mobile Number (Optional):
Fax Number (Optional):
School You Are Currently Attending (or have most recently graduated from):	*
Area Of Study:	Select >> Political Science International Relations History Law Economics Sociology Psychology Business Management Other... * Other:
Last Year Completed:	*
Grade Point Average (if known):
Level of Spoken English:	Select >> Mother Tongue Excellent Very Good Good Fair Poor I Don't Understand... *
How Did You Hear About Us?	Select >> Email From a Teacher Email From a Friend Email From You! B&W Poster at School Full Colour Poster at School On The Internet Google! Regional Education Outreach Other... Other:
Short Essay #1: TOPIC: In your opinion what are the greatest challenges facing the peoples of Africa? LENGTH: Approximately 250 words. HOW: Simply "cut & paste" your essay into the text box from your word processing software (CTRL-C to copy, CTRL-V to paste).	NOTE: Although you may submit your essays to us later by email (and don't worry, we will remind you), priority will be given to those applicants who include their essays with their initial application. Click if you will email this essay to us later.
Short Essay #2: TOPIC: What ideas do you have for overcoming these challenges? LENGTH: Approximately 250 words. HOW: Simply "cut & paste" your essay into the text box from your word processing software (CTRL-C to copy, CTRL-V to paste).	Click if you will email this essay to us later.
Special Note: Civic Concepts International is working hard to lower the price of the conference for those who need assistance, and we offer a limited number of 'need based scholarships' to selected African students. To apply for a scholarship, you will need to complete the following essay: TOPIC:How would you use the experience of IYLA once you return to your home country? LENGTH:Approximately 250 words. HOW:Simply "cut & paste" your essay into the text box from your word processing software (CTRL-C to copy, CTRL-V to paste) NOTE: Although you may submit your essays to us later by email (and don't worry, we will remind you), priority will be given to those applicants who include their essays with their initial application.	Click if you will email this essay to us later.