Tech4Growth – Youth Digital Empowerment Initiativeoffered by HRH PRINCESS BELLE RACHEL FOUNDATION Application Form Gender *First Name *Last Name *Date of Birth *Email Address *Phone number (including country code) *Address Address Line 1Address Line 2CityState / Province / RegionZip / Postal CodeAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelauBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKosovoKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Martin (Dutch part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamVirgin Islands (British)Virgin Islands (US)Wallis and FutunaWestern SaharaSamoaYemenZambiaZimbabweCountryPreferred Language of Communication *EnglishFrenchPortuguese ArabicAmharicSpanishOther (specify) Current Level of Education *Secondary SchoolUndergraduateBachelor’sDiploma Master’sOther Institution Name Year of Graduation (or Expected) Preferred Type of Engagement Online / RemoteOccasionalLong-TermOfflineWhich area(s) of digital empowerment are you most interested in? *Web DevelopmentDigital MarketingGraphic DesignData AnalyticsCybersecurityEntrepreneurshipArtificial IntelligenceMachine LearningSoftware DevelopmentData ScienceGraphic Design / UI-UXOther (specify) What digital skills do you currently possess (if any)? How will you apply the skills gained from this program in your community or career? (Max 150 words) *How will you apply the skills gained from this program in your community or career? (Max 150 words) *Have you previously participated in any digital skills or entrepreneurship programs? *YesNoIf yes, please specify How did you hear about this program? *Social MediaFriend/FamilySchool WebsitePreferred training mode *OnlineIn-personHybridDo you have access to a laptop or digital device for training? *YesNoDo you have reliable internet access? *YesNoIs there anything else you’d like us to know about your project or you as applicant? (max 150 words) CV / Resume * Drop your file here or click here to upload You can upload up to 1 files. Recommendation Letter Drop your file here or click here to upload You can upload up to 1 files. Attachments (tick what you’re submitting) CV / Resume of applicant/leadBusiness/project planPrototype/demo link (if any)Reference letter(s)Please confirm you meet the eligibility criteria: I am between 18-30 years oldI am not a citizen/resident of a country located in Africa and/ or the Middle East.I commit to participating fully in the programme for its durationDeclaration and Consent *I hereby declare that the information provided above is accurate and complete. I understand that providing false or misleading information may result in disqualification. I give permission to HRH Princess Belle Rachel Foundation to collect and store the submitted data and to verify the information provided. I consent to the processing of my personal data for application and coordination purposes. I agree to abide by the HRH Princess Belle Rachel Foundation’s policies, values, and code of conduct.Date / Time *Applicant’s Signature (Full name) *EmailSubmit
