Social Action Camp Form

Nigeria Social Action Camp 2023:Registration Form

You may want to check out the details before registering for the camping programme. Please do so HERE

1. Personal Information

* First Name: * Last Name: Date of Birth:

2. Contact Information

* Email: * Phone: * City: * State: Country: Mode of Participation

3. Affiliated Organization/Institution (if any):

Name of Organization: Position Held:

4. Camp Participation Details

Yes No

If yes, specify the year(s) (hold the control key to select more than one year)

5 Other Information

Areas of Interest you're passionate about

Depertment you would like to volunteer in at the camp

Briefly describe why you wish to attend the Social Action Camp 2023

6 Additional Information

Do you have any dietary restrictions or allergies?

Yes No

Do you require any special accommodations?

Yes No

7. Declaration

I hereby declare that all information provided above is accurate and true to the best of my knowledge. I understand that participation is not automatic, and my application will undergo a screening process.

Please review all your responses before submitting. Once submitted, you will not be able to edit the form. Selected participants will be notified via the email address provided.