M-Youth Impact Hub Registration Form

Welcome to the M-Youth Impact Hub registration portal. Please complete all sections carefully to apply for membership. Sections focus on your background, civic motivation, and commitment to community development. All fields marked with a red asterisk (*) are required.

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Personal Information

Please provide your accurate personal and academic details below so we can keep in touch regarding your application status.

Full Name

Title

First Name

Middle Name

Last Name

University / Institution

Select the full name of your current university or tertiary institution.

Year of Study

Select your current academic level (e.g., Level 200, 3rd Year)

Level 100 (First Year)

Level 200 (Second Year)

Level 300 (Third Year)

Level 400 (Fourth Year)

Level 500 / Fifth Year (For Architecture, Engineering, etc.)

Level 600 / Sixth Year (For Medicine, Pharmacy, etc.)

Programme / Course of Study

State your major, degree program, or primary course of study.

Phone Number

Email Address

Email Consent Checkbox

I agree to receive marketing emails, updates, and promotions from Moreshet Foundation. You can unsubscribe at any time via the link in our emails.

SMS Consent Checkbox

I agree to receive promotional and automated text messages from Moreshet Foundation at the phone number provided. Consent is not a condition of purchase. Message frequency varies. Message & data rates may apply. Text STOP to unsubscribe or HELP for help. View our [Privacy Policy] and [Terms of Service].

Background

Which campus are you applying to join?

Select the specific M-Youth Impact Hub location you wish to be affiliated with.

How did you hear about the M-Youth Impact Hubs?

E.g., Social media, a friend, campus poster, faculty recommendation.

Are you involved in any other student organisations or initiatives? (brief description)

Briefly list any active roles or memberships you hold in other clubs or societies.

Motivation & Purpose

Why do you want to join the M-Youth Impact Hubs?

300 words max

What does contributing to Ghana’s development mean to you personally?

200 words max

Identify one education challenge in your campus community and suggest a practical approach to addressing it

250 words max

Contribution Capacity

How many hours per week can you realistically commit to Hub activities?

Provide an honest estimate of the time you can dedicate weekly without compromising your academic work.

Do you have any specific skills that would strengthen the Hub’s work?

List practical skills you possess, such as research, writing, data analysis, media production, or design etc.

Have you ever contributed to a community, policy, or civic initiative before?

Yes

If yes, briefly describe the initiative and your specific role or contribution.

Reference

Upload your Reference Letter*