Makemation National Youth AI Festivals Speaker & Lab Mentor Registration Form Personal Information First Name Last Name Email Address Mobile Phone Number (Whatsapp) Gender Female Male Prefer not to say Date of Birth City Abia State Adamawa State Akwa Ibom State Anambra State Bauchi State Bayelsa State Benue State Borno State Cross River State Delta State Ebonyi State Edo State Ekiti State Enugu State Gombe State Imo State Jigawa State Kaduna State Kano State Katsina State Kebbi State Kogi State Kwara State Lagos State Nasarawa State Niger State Ogun State Ondo State Osun State Oyo State Plateau State Rivers State Sokoto State Taraba State Yobe State Zamfara State Abuja State Abia State Adamawa State Akwa Ibom State Anambra State Bauchi State Bayelsa State Benue State Borno State Cross River State Delta State Ebonyi State Edo State Ekiti State Enugu State Gombe State Imo State Jigawa State Kaduna State Kano State Katsina State Kebbi State Kogi State Kwara State Lagos State Nasarawa State Niger State Ogun State Ondo State Osun State Oyo State Plateau State Rivers State Sokoto State Taraba State Yobe State Zamfara State Abuja Country Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Croatia Cuba Cyprus Czech Republic Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria North Korea North Macedonia Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka Sudan Suriname Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Yemen Zambia Zimbabwe Select Country Linkedln Profile Personal Website / Portfolio (Optional) Role Applying For Which role are you applying for? Social Media & Content Creation Event Logistics & Coordination Technical Support Data Entry & Admin Crowd Management & Security Publicity & Outreach Professional Information Current Job Title Organization / Company Industry / Sector Entertainment Technology Governance Education Select sector Years of Professional Experience Short Professional Bio (100-150 words) Area of Expertise Artificial Intelligence Machine Learning Robotics Data Science Software Engineering Cybersecurity Cloud Computing Web Development Mobile App Development UI?UX Design Entrepreneurship Startups Digital Marketing Creative Technology Animation Filmmaking Gaming Fashion Technology Education Career Development Leadership Prompt Engineering IoT Other (Please specify) Festival Participation Which universities or festival locations are you available for? (Multi-select) 1 2 3 4 5 6 7 8 9 10 11 12 Speaker Information (Required only if applying as a speaker) Proposed Session Title Session Description (150-300 words) Preferred Session Format Target Audience Previous Speaking Experience Links to Previous Talks (Optional) Lab Mentor Information (Required only if applying as a Lab Mentor) Preferred Lab(s) (Select all that apply) AI Creators Training Lab Girls in AI Creative Future Lab Have you mentored before? Yes No Select Years of Mentoring Experience Maximum Number of Participants You Can Mentor Describe your mentoring approach (100 - 200 words) Media & Supporting Documents Upload Professional Headshot Upload CV/Resume Upload Company Logo (Optional) Portfolio / Website GitHub (Optional) LinkedIn Links to Previous Work (Optional Logistics Dietary Requirement (Optional) Accessibility Requirements (Optional) T-Shirt Size Emergency Contact Name Emergency Contact Phone Number Motivation Why do you want to be part of the Makemation National Youth Festival? What impact do you hope to make on participants? Is there anything else you would like us to know? By submitting this form, you agree to our Privacy Policy. We will contact you shortly with the next steps. Submit my application
