Human Rights in Action 2017

1. Please fill out the form below with your personal information *This question is required.

Before proceeding with this application, applicants should be familiar with the Human Rights in Action 2018 brochure: http://www.wfuna.org/sites/default/files/wysiwyg/images/hra_youth_flyer__2017.pdf *This question is required.

Last Name *This question is required.

First Name *This question is required.

Date of birth (DD/MM/YYYY) *This question is required.

Gender

Address

Nationality *This question is required.

Country of Residence *This question is required.

Email Address *This question is required. This question requires a valid email address.

Phone Number (ex. +33 XXXXXXXXX)
(This number will be the main way to contact the applicant) *This question is required.

What is the name of your United Nations Association? *This question is required.

Name and title of UNA Representative endorsing your application, if any

Contact details (email and phone) of UNA Representative endorsing your application, if any *This question is required.

If you are not affiliated to a UNA, please indicate 2 other references (Name, Title, Employer / Organization, E-mail and phone details).

Reference #1
Reference #2

Human Rights in Action 2017 - 7th edition