Changemakers Symposium

RSVP Form

Join Utah Global Diplomacy at a single-day symposium for Utah's young leaders. In recognition of the United Nations designated International Youth Day on August 12, the Symposium will give young people the opportunity to engage with global problems facing Utah, the United States, and the world. During the event, attendees will hear from speakers, participate in interactive sessions, and network with peers.

The conference is free to all Utahns.

Attendee Information

First Name *

Last Name *

Pronouns
Please select all that apply. Pronouns may be printed on nametags and other materials. If this information changes between registration and the Summit date, please contact Vincent@utahdiplomacy.org.

She/Her/Hers

He/Him/His

They/Them/Theirs They/Them/Theirs

Date of Birth
This Summit is primarily planned for individuals who meet the United Nations definition of 'Youth' (14-32 years old). * +

Will you be 18 years old or older on October 7, 2023? *

Yes

No

Street Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

Which of the following tracks are you interested in participating in during the 2023 Global Changemakers Symposium?

High School Track

College & Career Track

Which of the following best describes you?

An undergraduate student (pursuing an Associates or Bachelors degree)

A young professional

A graduate student

If you will be attending a high school during the 2023-2024 academic year, which institution are you primarily affiliated with?

If you will be attending a college or university during the 2023-2024 academic year, which institution are you primarily affiliated with?

If other, please list your institution.

If you are currently working, please list your professional affiliation.

Allergies and Dietary Notes
In the interest of environmental sustainability, all meals at the International Youth Summit will be vegan. *

Tell Us About Yourself! (Optional - answers are for research only)...

Which Sustainable Development Goals are you most interesting to you?
Select as many as apply. We will use this information to tailor the event to the interests of the attendees.

How did you hear about the Global Changemakers Symposium

How important is your engagement with nonprofit organizations, government organizations, or other community organizations to you?

Very important

Average importance

Not important

Other Other

How important is your engagement with nonprofit organizations, government organizations, or other community organizations to the organizations?

Very important

Average importance

Not important

Other Other

Please rate your motivation to engage with civic organizations (nonprofit, government, community organizations)

I feel highly motivated to participate to better myself or my community

I feel motivated to participate to fulfill requirements for applications, classes, work, etc.

I do not feel motivated to participate in civic organizations

Please rate your engagement with civic organizations

I consider myself to be highly civically engaged

I consider myself to be somewhat civically engaged

I consider myself to be minimally civically engaged

I consider myself to not be civically engaged

If you are civically engaged, in what ways?

Volunteering

Advocating for changes in your school or workplace to address social issues

Taking classes focused on social issues

Participating in the political process or in policy making

Raising money for social causes or donating

Participating in protests or signing petitions

Which of the following best describes you?

Which best describes you? (Check all that apply)

Caucasian/White/European/European American

Indigenous American/Native American/American Indian

Middle Eastern/North African/Middle Eastern American

Native Hawaiian/Pacific Islander/ Indigenous peoples of Oceania/Pacific Islander American

Asian/Asian American

Black/African/African American

Hispanic/Latino/LatinX/Hispanic American

Prefer not to answer

Other Other

Will you be, are you currently, or were you a first-generation college student?

Yes

No

Prefer not to answer

Under 18 - Parental/Gaurdian Consent

Because you will be under the age of 18 during the International Youth Summit, we would like to email a parent or gaurdian to tell them about the Summit.

Please provide the information of a legal gurdian below. After form submission, they will receive an email with further information.

Adult Title

Adult First Name *

Adult Last Name *

Adult Email *

Adult Phone

Symposium Conditions - You must agree to the the following conditions. *

I agree to follow all health guidelines outlined by the conference organizers and the Salt Lake County Health Department.

By attending the Changemakers Symposium, I agree to be photographed throughout the Symposium. Photographs may be used by Utah Global Diplomacy and it's partners in promotional materials and on websites. If I am under the age of 18, I agree to provide contact information of a legal guardian who may provide permission.

I acknowledge that the Changemakers Symposium is free to attend. I will let Symposium organizers know if I will not be able to attend.