REGIONAL YOUTH HUB MEMBERSHIP FORM

PLEASE NOTE

Membership to the SAT Regional Youth Hub is an individual basis and is open to anyone aged from 12-25yrs. Membership is free and renewable on a yearly basis. Becoming a member means that you will have access to the Regional Youth Hub and be part of a regional SRHR network of youth activists! You will have access to any
Youth Hubs across SAT countries.

Personal information
First Name
Last Name
Date of Birth
Gender
Email
Mobile number


Youth hub information
What are your SRHR interests?Ending child marriageComprehensive sexuality educationGender-based violencePolicies/advocacyKeeping girls in safe schoolsHIV/AIDSAccess to health servicesAdolescent & youth access to health servicesMenstrual health
Which youth hub group are you interested in joining?SRHR ProgrammesResearch & EvidenceNetworking & CommunicationAdvocacy & Capacity Building
Do you agree to adhere to the SAT Charter and Code of Conduct?
Declaration
Please sign that you declare that you are over the age of 18 years old and wish to become a member of the SAT Regional Youth Hub. Please sign if you are over the age of 18 years, else please have your parent/guardian sign and give consent that you may become a member of the SAT Regional Youth Hub
Parent/Legal Guardian
Signature

Please sign in the space below