Application Form Changemakers Summit Azerbaijan 2025 Personal InformationFull Name (As Per Passport) *Gender *GenderMaleFemalePrefer not to sayDate of Birth *Nationality *Select CountryAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench 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LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweContact Number *Email Address *Country of Residence *Select CountryAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweDeparture City *UploadsUpload Your Profile Photo *Choose FileNo file chosenDelete uploaded fileOnly ( JPG, JPEG, PNG, PDF ) files of ( max. size 1MB ) are allowed.Upload Your Passport/ID *Choose FileNo file chosenDelete uploaded fileOnly ( JPG, JPEG, PNG, PDF ) files of ( max. size 1MB ) are allowed.⦁ Please provide a brief biography highlighting your background, achievements, & passions? (250 words or less) *⦁ What inspires you to join the Changemakers Summit 2025? (250 words or less) *⦁ What is one idea or initiative you believe could make the world a better place, and how would you contribute to it? (250 words or less) *⦁ How have you contributed to your community as a leader? (100 words or less) *Additional InformationFacebook/LinkedIn Profile link (optional)Current Profession *Where did you hear about the Changemakers Summit 2025?InstagramFacebookWebsiteGoogleScholarship CornerOpportunities CornerFrom a friendDeclaration: I hereby declare that the information provided in this application is true and accurate to the best of my knowledge. I consent and agree to abide by the terms and conditions outlined above. I understand that any false or misleading information may result in my disqualification from the scholarship. Application Fee: The application fee is mandatory and non-refundable under any circumstances. All applications must be complete to be considered for evaluation and selection. Confirmation of Participation: Selected participants will be notified via email and must confirm their participation within the specified time frame. Failure to confirm may result in the expiration of the scholarship. Use of Participant Information: By submitting an application, participants grant the organisers of the Changemakers Summit the right to use their name, biography, and any submitted materials for promotional purposes related to the event. Data Privacy: Personal information provided in the application will only be used for the purpose of evaluating the application and organising the Changemakers Summit. The organisers will handle personal data in compliance with applicable data protection laws and regulations. Selection Process: The selection of delegates will be conducted by an independent panel of judges, including high-profile board members and direct involvement from the United Nations. The outcomes are final and non-negotiable. Non-Refundable Application Fee: Participants cannot dispute the application fee if they are not selected for the scholarship categories. The organisation reserves the right to address disputes, and the applicant is responsible for any resulting loss. Scholarship Categories: Designated seats are available in Fully-Funded, Partially-Funded, and Self-Funded scholarships. Liability Disclaimer: EduTourism for Unity is not liable for any loss, injury, damage, or theft during the event. Attendees are responsible for their personal belongings and are expected to follow safety regulations and instructions. Our organising team will be available to assist in any matters. Legal Agreement: By participating, participants agree not to pursue legal action against the organisation for the denial of application fee refunds. Participants also commit to refraining from defamation, whether oral, visual, or auditory, regarding the organisation. Any violation of this provision may result in legal consequences. Billing DetailsFirst Name *Last NameEmail Address *Phone Number *Credit / Debit Card *( Pay with Visa, MasterCard )Application Fee £18.75Pay & Submit