Join our Ambitious Youth Network by completing the form below. You will receive an email when your account has been approved.

To learn more about how we use your personal data, please see our Privacy Notice.

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* Required fields are marked with an asterisk

First name *

Last name *

Birth date *

Primary email *

Clusters *

This section is optional to complete. Emergency contact-This information is not shared with the community, and will only be contacted if we are concerned with your safety.

Name and surname

Relationship

Email address

Phone number

About me

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How did you hear about us?

Personal mobile

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I give consent to the Ambitious Youth Network to use this information to build a profile when my request is approved and to regulate access to the platform. *