AI FOR Youth Africa – Membership Form

Empowering Africa's Youth to Lead in Ethical, Inclusive AI

Personal Information

Full name

Preferred name

Date of birth

You must be at least 13 years old to join

Gender

Nationality

Country of residence

Languages spoken

List languages you speak, separated by commas

Phone number

WhatsApp preferred. Include country code

Instagram handle

Twitter handle

Linkedin url

Current institution

Level of study or role

Fields of interest

Select all that apply

Artificial Intelligence Data Science Robotics Ethics & Policy Creative Tech (Design, Media, etc.) Entrepreneurship Other

Other field of interest

Why join

Community impact vision

Contribution areas

Select areas where you'd like to contribute

Youth Leadership Communications & Storytelling Tech Training & Mentorship Event Planning Partnerships & Outreach Creative Design Other

Other contribution area

Membership type

Youth Member (ages 13-25) Ally / Mentor / Partner Sponsor / Institutional Representative

Engagement preferences

Attend events & trainings Volunteer or co-create programs Receive updates & opportunities

Media consent

Do you consent to being photographed or featured in Summit Media?

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I confirm that the information provided is accurate and that I wish to be part of the AI FOR Youth Africa movement.

✅ Thank you! Your membership form has been submitted successfully.