Application Form For Climate Charge To Copenhagen

OXFAM CLIMATE CHARGE TO COPENHAGEN

Dec 9th – 12th

APPLICATION FORM

University____________________________

Name____________________________

Gender______________________________

T shirt size (large, medium, small)

Student no______________________________

_______________________

Email address_______________________________ Names of any other applicants you’d like to be teamed with (don’t worry if you don’t know of anyone yet) ________________________________________________________________ ________________________________________________________________ Reasons for wanting to go

Places are limited so we will have to turn some people down. It is not strictly a first come first serve basis as we have to make sure that teams are no more than three and include both sexes

for safety reasons. Apply by 20th October (Liverpool) and 23rd October (Manchester)