<?
if($action=="submit"){
	include("cheqreq.inc");
	$eis = cheqreq($rform);
}

if ($eis) {
	print "INVALID DATA >> $eis";
}
if(!$eis && $action=="submit"){
	$link = mysql_connect('localhost','web','ratpow');
	$query.="INSERT INTO tigsm_yes.Regional_Registration (";
	foreach($form as $key => $value){
		if($i){$query.=" ,";}
		$query.=$key;
		$i++;
	}
	unset($i);
	$query.=" ,";
	foreach($rform as $key => $value){
		if ($key != "Username" && $key != "Password" && $key != "RePassword") {
			if($i){$query.=" ,";}
			$query.=$key;
			$i++;
		}
	}
	unset($i);
	$query.=") VALUES (";
	
	foreach($form as $key => $value){
			if($i){$query.=" ,";}
			$query.="'".$value."'";
			$i++;
		}
		unset($i);
	$query.=" ,";
	foreach($rform as $key => $value){
		if ($key != "Username" && $key != "Password" && $key != "RePassword") {
			if($i){$query.=" ,";}
			$query.="'".$value."'";
			$i++;
		}
	}
	unset($i);

	$query.=")";
	mysql_query($query) or die(mysql_error());
	mysql_close($link);
	#$link = mysql_connect('199.243.150.107','web','ratpow');
	#mysql_select_db("tig",$link);
 
	tigconnect("tig");

	$name = $rform[D_firstName].' '.$rform[D_lastName];
	if ($member == 0) {
		if (mysql_num_rows(mysql_query("SELECT * FROM Users WHERE Email = '$rform[D_Email]'")) == 0) {
			if ($rform[D_Sex] == 1) { $gender = "m"; } else { $gender = "f"; }
			$Username = $rform[Username];
			$Password = $rform[Password];
			mysql_query("INSERT INTO tig.Users (Username,Password,Name,Email,Address,City,State,Zipcode,CountryID,Phone,Fax,Gender,Organization,HearTIG,CobID,DateJoined) VALUES ('$Username','$Password','$name','$rform[D_Email]','$rform[D_Address1] $rform[D_Address2]','$rform[D_City]','$rform[D_State]','$rform[D_PostalCode]','$rform[D_Country]','$form[D_Phone]','$form[D_Fax]','$gender','$rform[DI_Name]','YES Registrant','10',NOW())") or die(mysql_error());
			$newid = mysql_insert_id();
			mysql_query("INSERT INTO tignetwork.consent (UserID,SiteID) VALUES ('$newid','3')");
			$welcome = "ga";
			$stat = "newtig";
		} else {
			$checkuser = query("SELECT * FROM Users WHERE Email = '$rform[D_Email]'");
			$check = query("SELECT * FROM tignetwork.consent WHERE UserID = '$checkuser[UserID]' and SiteID = '3'");
			if ($checkuser && !$check) {
				mysql_query("INSERT INTO tignetwork.consent (UserID,SiteID) VALUES ('$checkuser[UserID]','3')");
				#mysql_query("UPDATE Users SET YESFlag = '1' WHERE Email = '$rform[D_Email]'");
				$Username = $checkga[Username];
				$Password = $checkga[Password];
			}
			$welcome = "tig";
			$stat = "existtigthoughtnot";
		}
	} elseif ($member == 1) {
		$checkuser = query("SELECT * FROM tig.Users WHERE Username = '$rform[Username]'");
		$check = query("SELECT * FROM tignetwork.consent WHERE UserID = '$checkuser[UserID]' and SiteID = '3'");
		if ($checkuser && !$check) {
			mysql_query("INSERT INTO tignetwork.consent (UserID,SiteID) VALUES ('$checkuser[UserID]','3')");
			#mysql_query("UPDATE Users SET YESFlag = '1' WHERE Username = '$rform[Username]'");
			$welcome = "tig";
			$Username = $checkuser[Username];
			$Password = $checkuser[Password];
			$stat = "existtignotyes";
		} elseif ($check) {
			$welcome = 'tig';
			$Username = $checkuser[Username];
			$Password = $checkuser[Password];
			$stat = "existtigyes";
		}
	}
	$to = "$rform[D_firstName] $rform[D_lastName] <$rform[D_Email]>";
	$from = "From: YES Kenya 2006 Registration <info@yesweb.org>\n";

//	echo $welcome;
	
	if ($welcome == "tig") {
		$body = "Dear ".stripslashes($rform[D_firstName]).", \n\n Thank you for registering for the YES Kenya 2006 scheduled for September 13 - 16, 2006 in Nairobi, Kenya. If you are a confirmed speaker registering...please ignore the rest of this email.  Otherwise please note that simply registering does not guarantee a delegate seat at the Kenya Summit.  There are several criteria that will be taken into consideration to create a representative delegation from your country.  If their is a YES Network in your country please do get in touch with your coordinator. This letter is a confirmation that your registration details have been received. \n\n Our system shows that you already have a YES Global Alliance/TakingITGlobal account and have included you in the Global Alliance Database! If you forget your YES Global Alliance/TakingITGlobal account information, you can get it here: \n http://d.takingitglobal.org/community/login.html?login=lostpassword \n\n What do you do now? \n\n
 1. Fundraising \n
 Do you have the funds to attend the YES Kenya 2006? You will need to begin your fundraising efforts immediately for your airfare and other costs. YES offers you a fundraising toolkit that will be of great assistance to you. This toolkit, available free at the YES website, was developed in 2002 when it was used successfully by many delegates of the Youth Employment Summit, Alexandria, Egypt. It will be a very helpful resource for you too.
 Find the toolkit at: www.yesweb.org/docs/fundraising.pdf. \n\n
 2. Your Country Delegation for the Summit\n
 Please note that there are restrictions on the total number of participants to the YES Kenya 2006. Each country should aim at 50 percent minimum women representation and aim for the following delegation as the ideal combination: \n\n
* Minister of Youth \n
* Other government official (Directors of Youth, etc) \n
* YES Network Coordinator (if your country has a YES Network please check on the YES website) \n
* YES Network youth member (to be female if coordinator is male) \n
* Chamber of Commerce representative \n
* Private sector representative \n
* NGOs \n
* Education and Training Sector \n
* ICT \n\n
3. With this application you automatically become a member of the YES Global Alliance (YES GA)  - a 6000 strong group committed to working to promote youth employment. Your membership of the  YES Global Alliance gives you access to a wide range of resources, and connects you to a global network of individuals and organizations promoting youth employment. The links below offer a few ways for you to benefit from the YES Global Alliance. \n\n   
--It offers you an opportunity to create your  profile so that other Global Alliance members can CONNECT with you.  You can update this profile by using your user name and password: \n http://www.yesweb.org/login.html \n\n
-- Membership into your YES Country Network if it exists in your country.\n
YES Country Networks are active in over 60 countries, taking action to create employment opportunities for youth and to fulfill the goals of the YES Campaign. Your country may have a YES Network if not you may want to launch one. Find out about YES Country Networks from   http://www.yesweb.org/yesnetworks \n\n
If a YES Network operates in your country with your new YES Global Alliance username and password, you can join it online! Just find your country's webpage and click on 'Join the Project Team' \n
 If you don't see your country's name in the list and wish to start a YES Country Network please contact PK Joseph, Coordinator at pk@yesweb.org \n\n
-- Locate other Global Alliance members in your region, or any part of the world. Also search for other members with the same interests as you, or working in similar areas of interest! \n
  http://www.yesweb.org/alliance/members.html \n\n
-- Participate in our online COMMUNITY by joining our email discussion list: \n
 http://www.yesweb.org/other/email_lst.html \n\n
 -- Participate in EVENTS and activities around the world. ADD an event that your are organizing, or that is taking place in your area: \n
http://www.yesweb.org/events/index.html \n\n
 -- DOWNLOAD toolkits and other useful information on how to implement Youth Employment initiatives \n
 http://www.yesweb.org/gkr/tk.html \n\n
 Please note that as a member of the Global Alliance for Youth Employment, your account gives you access to a wide range of resources from our partner TakingITGlobal. To find out more about TakingITGlobal and the many
resources and opportunities available from their website please visit- \n
 http://www.takingitglobal.org \n\n
The YES Campaign is a project of Education Development Center, Inc. (EDC),Newton MA, for more information on EDC please go to www.edc.org  If you have any ideas, comments, suggestions or feedback, please drop us a line at info@yesweb.org -- or just reply to this e-mail! \n\n\n\n
Best regards, \n\nP K Joseph \nCoordinator, YES Kenya 2006 \npk@yesweb.org \n\n\nwww.yesweb.org

";
		mail($to,'Thank you for registering!',$body,$from."bcc: pk@yesweb.org\n");
	} elseif ($welcome == "ga") {
		$body = "Dear ".stripslashes($rform[D_firstName]).", \n\n Thank you for registering for the YES Kenya 2006 scheduled for September 13 - 16, 2006 in Nairobi, Kenya. If you are a confirmed speaker registering...please ignore the rest of this email.  Otherwise please note that simply registering does not guarantee a delegate seat at the Kenya Summit.  There are several criteria that will be taken into consideration to create a representative delegation from your country.  If their is a YES Network in your country please do get in touch with your coordinator. This letter is a confirmation that your registration details have been received. \n\n Our system shows that you already have a YES Global Alliance/TakingITGlobal account and have included you in the Global Alliance Database! If you forget your YES Global Alliance/TakingITGlobal account information, you can get it here: \n http://d.takingitglobal.org/community/login.html?login=lostpassword \n\n What do you do now? \n\n
 1. Fundraising \n
 Do you have the funds to attend the YES Kenya 2006? You will need to begin your fundraising efforts immediately for your airfare and other costs. YES offers you a fundraising toolkit that will be of great assistance to you. This toolkit, available free at the YES website, was developed in 2002 when it was used successfully by many delegates of the Youth Employment Summit, Alexandria, Egypt. It will be a very helpful resource for you too.
 Find the toolkit at: www.yesweb.org/docs/fundraising.pdf. \n\n
 2. Your Country Delegation for the Summit\n
 Please note that there are restrictions on the total number of participants to the YES Kenya 2006. Each country should aim at 50 percent minimum women representation and aim for the following delegation as the ideal combination: \n\n
* Minister of Youth \n
* Other government official (Directors of Youth, etc) \n
* YES Network Coordinator (if your country has a YES Network please check on the YES website) \n
* YES Network youth member (to be female if coordinator is male) \n
* Chamber of Commerce representative \n
* Private sector representative \n
* NGOs \n
* Education and Training Sector \n
* ICT \n\n
3. With this application you automatically become a member of the YES Global Alliance (YES GA)  - a 6000 strong group committed to working to promote youth employment. Your membership of the  YES Global Alliance gives you access to a wide range of resources, and connects you to a global network of individuals and organizations promoting youth employment. The links below offer a few ways for you to benefit from the YES Global Alliance. \n\n   
--It offers you an opportunity to create your  profile so that other Global Alliance members can CONNECT with you.  You can update this profile by using your user name and password: \n http://www.yesweb.org/login.html \n\n
-- Membership into your YES Country Network if it exists in your country.\n
YES Country Networks are active in over 60 countries, taking action to create employment opportunities for youth and to fulfill the goals of the YES Campaign. Your country may have a YES Network if not you may want to launch one. Find out about YES Country Networks from   http://www.yesweb.org/yesnetworks \n\n
If a YES Network operates in your country with your new YES Global Alliance username and password, you can join it online! Just find your country's webpage and click on 'Join the Project Team' \n
 If you don't see your country's name in the list and wish to start a YES Country Network please contact PK Joseph, Coordinator at pk@yesweb.org \n\n
-- Locate other Global Alliance members in your region, or any part of the world. Also search for other members with the same interests as you, or working in similar areas of interest! \n
  http://www.yesweb.org/alliance/members.html \n\n
-- Participate in our online COMMUNITY by joining our email discussion list: \n
 http://www.yesweb.org/other/email_lst.html \n\n
 -- Participate in EVENTS and activities around the world. ADD an event that your are organizing, or that is taking place in your area: \n
http://www.yesweb.org/events/index.html \n\n
 -- DOWNLOAD toolkits and other useful information on how to implement Youth Employment initiatives \n
 http://www.yesweb.org/gkr/tk.html \n\n
 Please note that as a member of the Global Alliance for Youth Employment, your account gives you access to a wide range of resources from our partner TakingITGlobal. To find out more about TakingITGlobal and the many
resources and opportunities available from their website please visit- \n
 http://www.takingitglobal.org \n\n
The YES Campaign is a project of Education Development Center, Inc. (EDC),Newton MA, for more information on EDC please go to www.edc.org  If you have any ideas, comments, suggestions or feedback, please drop us a line at info@yesweb.org -- or just reply to this e-mail! \n\n\n\n

Best regards, \n\n P K Joseph \n Coordinator, YES Kenya 2006 \n pk@yesweb.org \n\n\n www.yesweb.org

";
		mail($to,'Thank you for registering!',$body,$from."bcc: pk@yesweb.org\n");
	}
	mail("pk@yesweb.org","YES Reg Debug","
	welcome: $welcome
	Username: $Username
	Password: $Password
	member: $member
	stat: $stat","From: YES");
	$test  = "sandy";
	//	var_dump($rform);

	print "<FORM NAME=test METHOD=POST ACTION=POST>";
	print "<INPUT TYPE=HIDDEN NAME=partname VALUE=".$name;
	print "</FORM>";
?>
<meta http-equiv="refresh" content="0;url=<?=$PHP_SELF?>?d=1&amp;name=<?=urlencode($rform[D_firstName]." ".$rform[D_lastName])?>">
<?
}else{
if($d){
header("Location:http://www.yesweb.org/2006/visa.php?username=".$name."");
}else{
?>
<title>Kenya Youth Employment Summit: Registration Form</title>
<link href="file:///D%7C/yesweb%20website/2006/style.css" rel="stylesheet" type="text/css">
</head>
<form name="register" method="post" action="<?=$PHP_SELF?>"> <table width="780" border="0" align="left" cellpadding="6" cellspacing="0" bgcolor="#ffffff" class="normal"> 
<tr> <td> <p align = "justify"> Please note: by registering for the Kenya Summit 
you will become a member of the YES Global Alliance, which includes a subscription 
to the YES E-Mail Discussion List. There are six sections to be completed in this 
form.</p></td></tr> <tr> <td bgcolor = "#CC131b"> <div> <p align = "justify"><font color="#FFFFFF" class="normal"><b>* 
Denotes required fields.</b></font></p></div></td></tr> <tr> <td> <?if($eis){?> 
<br> <font color="#000000" class="bigbold"> One or more required fields have been 
left blank. Please review the form below and fill in the information for the fields 
with red labels.</font> <?}?> </td></tr> <tr> <td bgcolor="#99CCFF"> <FONT CLASS = "newbox"> 
1. Please fill in the Fees section (Section III) even if it is getting waived.<BR> 
2. Please put the check mark in the box in Section (IV), it is mandatory.<BR> 
3. It is mandatory to fill all fields marked with * mark.</FONT> </td></tr> <tr> 
<td bgcolor="#5A6173"> <font color="#FFFFFF" class="bigbold"><B>Section I. Applicant</B> 
</font></td></tr> <tr> <td align="center" valign="top"><table width="100%" border="0" cellspacing="3" cellpadding="7" align="center"> 
<tr bgcolor="#FFFFFF"> <td colspan="7"><p align = "justify" class="style1"><font class="normal">This 
section should be completed by the individual attending the YES Summit. Please 
capitalize proper nouns when spelling your name, address, and organization. This 
information will be used to compile the list of attendees that will be available 
to all meeting participants.</font></p></td></tr> <tr align="left" valign="middle"> 
<td colspan="7"><span class="style2"></span></td></tr> <tr align="left" valign="middle"> 
<td colspan="2"><div align="right" class="style3"> <font class="normal"><b><span class="style1">* 
<?if(!$rform[D_Title]&&$action=="submit"){?> <?}?> </span></b></font><font class="normal"><b><span class="style1">Title:</span></b></font><font color="#331F13" class="normal"><b><font color="#ff0000"> 
<?if(!$rform[D_Title]&&$action=="submit"){?> </font> <?}?> </b></font> </div><div align="left" class="style3"></div></td><td colspan="5" class="normal"><font color="#331F13"><img src="http://www.youthemploymentsummit.org/images/images/trans.gif" width="15" height="1"> 
Prof. <input type="radio" name="rform[D_Title]" value="Prof" <?if($rform[D_Title] == "Prof"){?>checked<?}?>> 
<img src="http://www.youthemploymentsummit.org/images/images/trans.gif" width="15" height="8"> 
Dr. <input type="radio" name="rform[D_Title]" value="Dr" <?if($rform[D_Title] == "Dr"){?>checked<?}?>> 
<img src="http://www.youthemploymentsummit.org/images/images/trans.gif" width="15" height="1"> 
Mr. <input type="radio" name="rform[D_Title]" value="Mr" <?if($rform[D_Title] == "Mr"){?>checked<?}?>> 
<img src="http://www.youthemploymentsummit.org/images/images/trans.gif" width="15" height="1"> 
Ms. <input type="radio" name="rform[D_Title]" value="Ms" <?if($rform[D_Title] == "Ms"){?>checked<?}?>> 
<img src="http://www.youthemploymentsummit.org/images/images/trans.gif" width="15" height="1"> 
</font></td></tr> <tr align="left" valign="middle"> <td colspan="2"> <div align="right"><span class="normal"><span class="style2"></span></span></div><div align="right" class="style3"><font color="#331F13" class="normal "><b> 
<b>*</b> <?if(!$rform[D_firstName]&&$action=="submit"){?> <?}?> First Name: <b> 
<?if(!$rform[D_firstName]&&$action=="submit"){?> </b> <?}?> </b> </font></div></td><td width="260"> 
<input name="rform[D_firstName]" type="text" id="rform[D_firstName]" value="<?=$rform[D_firstName]?>"> 
</td><td colspan="2" align="right"> <span class="style1"><font class="normal normal style2"><b>* 
<?if(!$rform[D_lastName]&&$action=="submit"){?> <?}?> Last Name: <font class="normal"><b> 
<?if(!$rform[D_lastName]&&$action=="submit"){?> </b></font> <?}?> </b></font></span></td><td colspan="2"><input name="rform[D_lastName]" type="text" id="rform[D_lastName]" value="<?=$rform[D_lastName]?>"></td></tr> 
<tr align="left" valign="middle"> <td colspan="2"> <div align="right" class="style3"><font color="#331F13" class="normal "><b> 
<b>*</b> <?if(!$rform[DI_Name]&&$action=="submit"){?> <?}?> Institution Name: 
<?if(!$rform[DI_Name]&&$action=="submit"){?> <?}?> </b></font></div></td><td colspan="5"> 
<input name="rform[DI_Name]" type="text" value="<?=$rform[DI_Name]?>" size="80"></td></tr> 
<tr align="left" valign="middle"> <td colspan="2"> <div align="right" class="style3"><font color="#331F13" class="normal "><b> 
<b>*</b> <?if(!$rform[D_Address1]&&$action=="submit"){?> <?}?> Address 1: <b> 
<?if(!$rform[D_Address1]&&$action=="submit"){?> </b> <?}?> </b></font></div></td><td colspan="5"> 
<input name="rform[D_Address1]" type="text" id="rform[D_Address1]" value="<?=$rform[D_Address1]?>" size="80"> 
</td></tr> <tr align="left" valign="middle"> <td colspan="2"> <div align="right" class="style3"><font color="#331F13" class="normal "><b> 
Address 2 </b>(if necessary)<b>: </b></font></div></td><td colspan="5"> <input name="rform[D_Address2]" type="text" id="rform[D_Address2]" value="<?=$rform[D_Address2]?>" size="80"> 
</td></tr> <tr align="left" valign="middle"> <td colspan="2"> <div align="right" class="style3"><font color="#331F13" class="normal "><b> 
<b>*</b> <?if(!$rform[D_City]&&$action=="submit"){?> <?}?> City: <?if(!$rform[D_City]&&$action=="submit"){?> 
<?}?> </b></font></div></td><td width="260"> <input name="rform[D_City]" type="text" value="<?=$rform[D_City]?>"> 
</td><td colspan="2"> <div align="right" class="style3"><font color="#331F13" class="normal "><b> 
<b>*</b> <?if(!$rform[D_State]&&$action=="submit"){?> <?}?> State/Province: <?if(!$rform[D_State]&&$action=="submit"){?> 
<?}?> </b></font></div></td><td colspan="2"> <input name="rform[D_State]" type="text" value="<?=$rform[D_State]?>"> 
</td></tr> <tr align="left" valign="middle"> <td colspan="2"> <div align="right" class="style3"><font color="#331F13" class="normal "><b> 
<b>*</b> <?if(!$rform[D_PostalCode]&&$action=="submit"){?> <?}?> Zip/Postal Code: 
<?if(!$rform[D_PostalCode]&&$action=="submit"){?> <?}?> </b></font></div></td><td width="260"> 
<input name="rform[D_PostalCode]" type="text" value="<?=$rform[D_PostalCode]?>"> 
</td><td colspan="2"> <div align="right" class="style3"><font color="#331F13" class="normal "><b> 
<b>*</b> <?if(!$rform[D_Country]&&$action=="submit"){?> <?}?> Country: <?if(!$rform[D_Country]&&$action=="submit"){?> 
<?}?> </b></font></div></td><td colspan="2"> <span class="style3"> <select name="rform[D_Country]" class="menu" id="rform[D_Country]"> 
<option<? if ($rform[D_Country] == '' || !$Submit) { ?> selected<? } ?>></option> 
<?
	$newtig = mysql_connect("199.243.150.107","web","ratpow");
	$db = mysql_select_db("tig",$newtig) or die (mysql_error());
	$clist = mysql_query("SELECT CountryID,CountryName FROM Countries ORDER BY CountryName",$newtig);
	while ($c = mysql_fetch_assoc($clist)) {
?> <option value="<?=$c[CountryID]?>"<? if ($rform[D_Country] == $c[CountryID]) { ?> selected<? } ?>> 
<?=stripslashes($c[CountryName])?> </option> <?
	}

?> </select> </span> </td></tr> <tr align="left" valign="middle"> <td colspan="2"> 
<div align="right" class="style3"><font color="#331F13" class="normal "><b>Fax: 
</b><img src="http://www.youthemploymentsummit.org/images/images/trans.gif" width="8" height="8"></font></div></td><td width="260"> 
<input name="form[D_Fax]" type="text" value="<?=$form[D_Fax]?>"> </td><td colspan="2"> 
<div align="right" class="style3"><font color="#331F13" class="normal "><b> <b>*</b> 
<?if(!$rform[D_Email]&&$action=="submit"){?> <?}?> Email: <?if(!$rform[D_Email]&&$action=="submit"){?> 
<?}?> </b></font></div></td><td colspan="2"> <input name="rform[D_Email]" type="text" value="<?=$rform[D_Email]?>"> 
</td></tr> <tr align="left" valign="middle"> <td colspan="2"> <div align="right" class="style3"><font color="#331F13" class="normal "><b>Mobile: 
</b><img src="http://www.youthemploymentsummit.org/images/images/trans.gif" width="8" height="8"></font></div></td><td> 
<input name="form[D_Mobile]" type="text" id="form[D_Mobile]" value="<?=$form[D_Mobile]?>"> 
</td><td colspan="2"> <div align="right" class="normal"><font color="#331F13" class="normal"><b> 
<span class="bold">Email2:</span> </b></font></div></td><td colspan="2"> <input name="form[D_Email2]" type="text" id="form[D_Email2]" value="<?=$form[D_Email2]?>"> 
</td></tr> <tr align="left" valign="middle"> <td height="30" colspan="2"> <div align="right" class="style3"><font color="#331F13" class="normal "><b>Telephone: 
</b><img src="http://www.youthemploymentsummit.org/images/images/trans.gif" width="8" height="8"></font></div></td><td colspan="5" class="normal normal style2">Country 
Code: <input name="form[D_PhoneCC]" type="text" id="form[D_PhoneCC]" value="<?=$form[D_PhoneCC]?>" size="3"> 
Area Code + Number: <input name="form[D_Phone]" type="text" id="form[D_Phone]" value="<?=$form[D_Phone]?>" size="15"> 
</td></tr> <tr align="left" valign="middle"> <td colspan="2"> <div align="right" class="style3"><font color="#331F13" class="normal "><b> 
<b>*</b> <? if((!$rform[DOB_Day] || !$rform[DOB_Month] || $rform[DOB_Year] == 'Year') && $action=="submit"){ ?> 
<? } ?> Date of Birth: <? if((!$rform[DOB_Day] || !$rform[DOB_Month] || $rform[DOB_Year] == 'Year') && $action=="submit"){ ?> 
<? } ?> </b></font></div></td><td colspan="5"> <span class="style3"> <select name="rform[DOB_Day]" class="menu" id="rform[DOB_Day]"> 
<option<? if ($rform[DOB_Day] == '') { ?> selected<? } ?>>Day</option> <option value="1"<? if ($rform[DOB_Day] == '1') { ?> selected<? } ?>>1</option> 
<option value="2"<? if ($rform[DOB_Day] == '2') { ?> selected<? } ?>>2</option> 
<option value="3"<? if ($rform[DOB_Day] == '3') { ?> selected<? } ?>>3</option> 
<option value="4"<? if ($rform[DOB_Day] == '4') { ?> selected<? } ?>>4</option> 
<option value="5"<? if ($rform[DOB_Day] == '5') { ?> selected<? } ?>>5</option> 
<option value="6"<? if ($rform[DOB_Day] == '6') { ?> selected<? } ?>>6</option> 
<option value="7"<? if ($rform[DOB_Day] == '7') { ?> selected<? } ?>>7</option> 
<option value="8"<? if ($rform[DOB_Day] == '8') { ?> selected<? } ?>>8</option> 
<option value="9"<? if ($rform[DOB_Day] == '9') { ?> selected<? } ?>>9</option> 
<option value="10"<? if ($rform[DOB_Day] == '10') { ?> selected<? } ?>>10</option> 
<option value="11"<? if ($rform[DOB_Day] == '11') { ?> selected<? } ?>>11</option> 
<option value="12"<? if ($rform[DOB_Day] == '12') { ?> selected<? } ?>>12</option> 
<option value="13"<? if ($rform[DOB_Day] == '13') { ?> selected<? } ?>>13</option> 
<option value="14"<? if ($rform[DOB_Day] == '14') { ?> selected<? } ?>>14</option> 
<option value="15"<? if ($rform[DOB_Day] == '15') { ?> selected<? } ?>>15</option> 
<option value="16"<? if ($rform[DOB_Day] == '16') { ?> selected<? } ?>>16</option> 
<option value="17"<? if ($rform[DOB_Day] == '17') { ?> selected<? } ?>>17</option> 
<option value="18"<? if ($rform[DOB_Day] == '18') { ?> selected<? } ?>>18</option> 
<option value="19"<? if ($rform[DOB_Day] == '19') { ?> selected<? } ?>>19</option> 
<option value="20"<? if ($rform[DOB_Day] == '20') { ?> selected<? } ?>>20</option> 
<option value="21"<? if ($rform[DOB_Day] == '21') { ?> selected<? } ?>>21</option> 
<option value="22"<? if ($rform[DOB_Day] == '22') { ?> selected<? } ?>>22</option> 
<option value="23"<? if ($rform[DOB_Day] == '23') { ?> selected<? } ?>>23</option> 
<option value="24"<? if ($rform[DOB_Day] == '24') { ?> selected<? } ?>>24</option> 
<option value="25"<? if ($rform[DOB_Day] == '25') { ?> selected<? } ?>>25</option> 
<option value="26"<? if ($rform[DOB_Day] == '26') { ?> selected<? } ?>>26</option> 
<option value="27"<? if ($rform[DOB_Day] == '27') { ?> selected<? } ?>>27</option> 
<option value="28"<? if ($rform[DOB_Day] == '28') { ?> selected<? } ?>>28</option> 
<option value="29"<? if ($rform[DOB_Day] == '29') { ?> selected<? } ?>>29</option> 
<option value="30"<? if ($rform[DOB_Day] == '30') { ?> selected<? } ?>>30</option> 
<option value="31"<? if ($rform[DOB_Day] == '31') { ?> selected<? } ?>>31</option> 
</select> <select name="rform[DOB_Month]" class="menu" id="rform[DOB_Month]"> 
<option<? if ($rform[DOB_Month] == '') { ?> selected<? } ?>>Month</option> <option value="1"<? if ($rform[DOB_Month] == '1') { ?> selected<? } ?>>January</option> 
<option value="2"<? if ($rform[DOB_Month] == '2') { ?> selected<? } ?>>February</option> 
<option value="3"<? if ($rform[DOB_Month] == '3') { ?> selected<? } ?>>March</option> 
<option value="4"<? if ($rform[DOB_Month] == '4') { ?> selected<? } ?>>April</option> 
<option value="5"<? if ($rform[DOB_Month] == '5') { ?> selected<? } ?>>May</option> 
<option value="6"<? if ($rform[DOB_Month] == '6') { ?> selected<? } ?>>June</option> 
<option value="7"<? if ($rform[DOB_Month] == '7') { ?> selected<? } ?>>July</option> 
<option value="8"<? if ($rform[DOB_Month] == '8') { ?> selected<? } ?>>August</option> 
<option value="9"<? if ($rform[DOB_Month] == '9') { ?> selected<? } ?>>September</option> 
<option value="10"<? if ($rform[DOB_Month] == '10') { ?> selected<? } ?>>October</option> 
<option value="11"<? if ($rform[DOB_Month] == '11') { ?> selected<? } ?>>November</option> 
<option value="12"<? if ($rform[DOB_Month] == '12') { ?> selected<? } ?>>December</option> 
</select> <input name="rform[DOB_Year]" type="text" id="rform[DOB_Year]" value="<? if ($rform[DOB_Year] && $rform[DOB_Year] != 'Year') { echo $rform[DOB_Year]; } else { ?>Year<? } ?>" size="6" maxlength="4"> 
</span></td></tr> <tr align="left" valign="middle"> <td width="1"><span class="style2"></span></td><td colspan="3"><font color="#331F13" class="normal normal style2">I 
belong to an indigenous or minority group in my country: <input type="checkbox" name="form[D_Minority]" value="1" <? if($form[D_Minority]){ ?>checked<? } ?>> 
</font> </td><td width="81"><span class="style2"></span></td><td width="93"><span class="style2"></span></td><td width="90"><span class="style2"></span></td></tr> 
<tr align="left" valign="middle"> <td colspan="2"> <div align="right" class="style3"><font color="#331F13" class="normal "><b> 
<b>*</b> <?if(!$rform[DI_Name]&&$action=="submit"){?> <?}?> Category of Organization: 
<?if(!$rform[DI_Name]&&$action=="submit"){?> <?}?> </b></font></div></td><td colspan="5"> 
<span class="style3"> <select name="rform[ORG_Cat]" class="menu" id="rform[ORG_Cat]"> 
<option<? if ($rform[ORG_Cat] == '') { ?> selected<? } ?>></option> <option value="1"<? if ($rform[ORG_Cat] == '1') { ?> selected<? } ?>><span class="style3">Private 
Sector</span></option> <option value="2"<? if ($rform[ORG_Cat] == '2') { ?> selected<? } ?>><span class="style3">Government</span></option> 
<option value="3"<? if ($rform[ORG_Cat] == '3') { ?> selected<? } ?>><span class="style3">Non-governmental 
Organization (NGO]</span></option> <option value="4"<? if ($rform[ORG_Cat] == '4') { ?> selected<? } ?>><span class="style3">International 
NGO</span></option> <option value="5"<? if ($rform[ORG_Cat] == '5') { ?> selected<? } ?>><span class="style3">Multi-lateral 
Agency</span></option> <option value="6"<? if ($rform[ORG_Cat] == '6') { ?> selected<? } ?>><span class="style3">Bilateral 
Agency</span></option> <option value="7"<? if ($rform[ORG_Cat] == '7') { ?> selected<? } ?>><span class="style3">Media 
Agency</span></option> <option value="8"<? if ($rform[ORG_Cat] == '8') { ?> selected<? } ?>><span class="style3">Individual</span></option> 
</select> </span></td></tr> <tr align="left" valign="top"> <td colspan="2"><img src="http://www.youthemploymentsummit.org/images/images/trans.gif" width="100" height="1"> 
</td><td><span class="style2"></span></td><td width="81"><span class="style2"></span></td><td><span class="style2"></span></td><td><span class="style2"></span></td><td><span class="style2"></span></td></tr> 
</table></td></tr> <tr> <td bgcolor="#5A6173"> <font color="#FFFFFF" class="bigbold"><B>Section 
II. Secondary Contact</b></font> </td></tr> <tr> <td align="left" valign="top"><table width="100%" border="0" cellspacing="3" cellpadding="7" align="center"> 
<tr> <td colspan="6" class="normal"><p align = "justify" class="style1">Please 
input details of a contact person in your organization or other person. This step 
is taken in case an applicant&#8217;s contact details fail for any reason.</p></td></tr> 
<tr> <td colspan="6">&nbsp;</td></tr> <tr valign="middle"> <td><div align="right"> <font class="normal"><b><span class="style1">* 
<?if(!$rform[D_Title]&&$action=="submit"){?> <?}?> </span>Title: <?if(!$rform[D_Title]&&$action=="submit"){?> 
<?}?> </b></font> </div></td><td colspan="5"><font color="#331F13" class="normal"><img src="http://www.youthemploymentsummit.org/images/images/trans.gif" width="15" height="1"> 
Prof. <input type="radio" name="rform[S_Title]" value="Prof" <? if($rform[S_Title] == "Prof"){ ?>checked<? } ?>> 
<font color="#331F13" class="normal"><img src="http://www.youthemploymentsummit.org/images/images/trans.gif" width="15" height="8"></font> 
Dr. <input type="radio" name="rform[S_Title]" value="Dr" <? if($rform[S_Title] == "Dr"){ ?>checked<? } ?>> 
<img src="http://www.youthemploymentsummit.org/images/images/trans.gif" width="15" height="1"> 
Mr. <input type="radio" name="rform[S_Title]" value="Mr" <? if($rform[S_Title] == "Mr"){ ?>checked<? } ?>> 
<img src="http://www.youthemploymentsummit.org/images/images/trans.gif" width="15" height="1"> 
Ms. <input type="radio" name="rform[S_Title]" value="Ms" <? if($rform[S_Title] == "Ms"){ ?>checked<? } ?>> 
<img src="http://www.youthemploymentsummit.org/images/images/trans.gif" width="15" height="1"> 
</font></td></tr> <tr valign="middle"> <td> <div align="right"></div><div align="right"> 
<font class="normal"><b><span class="style1"><b>*</b> <?if(!$rform[S_firstName]&&$action=="submit"){?> 
<?}?> </span></b></font><font color="#331F13" class="normal"><b>First Name: <b> 
<?if(!$rform[S_firstName]&&$action=="submit"){?> </b> <?}?> </b> </font></div></td><td width="144"> 
<input name="rform[S_firstName]" type="text" id="rform[S_firstName]" value="<?=stripslashes($rform[S_firstName])?>"> 
</td><td colspan="2"><div align="right"> <font class="normal"><b><span class="style1">* 
<?if(!$rform[S_lastName]&&$action=="submit"){?> <?}?> </span></b></font><font class="normal"><b>Last 
Name: </b></font><font class="normal"><b></b></font><font color="#331F13" class="normal"><b><font color="#331F13" class="normal"><b> 
<?if(!$rform[S_lastName]&&$action=="submit"){?> </b></font> <?}?> </b></font></div></td><td colspan="2"><input name="rform[S_lastName]" type="text" id="rform[S_lastName]" value="<?=stripslashes($rform[S_lastName])?>"></td></tr> 
<tr valign="middle"> <td> <div align="right"> <font class="normal"><b><span class="style1"><b>*</b> 
<?if(!$rform[D_PostalCode]&&$action=="submit"){?> <?}?> </span></b></font><font color="#331F13" class="normal"><b>Telephone 
Number: <?if(!$rform[D_PostalCode]&&$action=="submit"){?> <?}?> </b><br> <font face = "times" size = "-2">[ 
with country and area code ]</font></font> </div></td><td width="144"> <input type="text" name="rform[S_Phone]" value="<?=$rform[S_Phone]?>"> 
</td><td colspan="2"> <div align="right"> <font class="normal"><b><span class="style1"><b>*</b> 
<?if(!$rform[S_Country]&&$action=="submit"){?> <?}?> </span></b></font><font color="#331F13" class="normal"><b>Country: 
<?if(!$rform[S_Country]&&$action=="submit"){?> <?}?> </b></font></div></td><td colspan="2"> 
<select name="rform[S_Country]" class="menu"> <option<? if ($rform[S_Country] == '' || !$Submit) { ?> selected<? } ?>></option> 
<?
	$clist = mysql_query("SELECT CountryID,CountryName FROM Countries ORDER BY CountryName",$newtig);
	while ($c = mysql_fetch_assoc($clist)) {
?> <option value="<?=$c[CountryID]?>"<? if ($rform[S_Country] == $c[CountryID]) { ?> selected<? } ?>><?=stripslashes($c[CountryName])?></option> 
<?
	}
?> </select> </td></tr> <tr valign="middle"> <td> <div align="right"> <font class="normal"><b><span class="style1"><b>*</b> 
<?if(!$rform[D_Email]&&$action=="submit"){?> <?}?> </span></b></font><font color="#331F13" class="normal"><b>Email: 
<?if(!$rform[D_Email]&&$action=="submit"){?> <?}?> </b></font></div></td><td width="144"><input name="rform[S_Email]" type="text" id="rform[S_Email]" value="<?=$rform[S_Email]?>"></td><td colspan="2">&nbsp;</td><td colspan="2">&nbsp; 
</td></tr> <tr> <td><img src="http://www.youthemploymentsummit.org/images/images/trans.gif" width="100" height="1"> 
</td><td>&nbsp;</td><td width="79">&nbsp;</td><td width="39">&nbsp;</td><td width="77">&nbsp;</td><td width="80">&nbsp;</td></tr> 
</table></td><tr> <td bgcolor="#5A6173"> <font color="#FFFFFF" class="bigbold"><B>Summit 
Participant List</B></font> </td></tr> <tr> <td height="100" align = "left"> <table width="100%" border="0" cellspacing="3" cellpadding="7" align="left"> 
<tr bgcolor="#FFFFFF"> <td colspan="4"><font class="style2"><br> Please complete 
the following information to assist the organizers in making your participation 
in the YES Summit as enjoyable as possible. </font> </td></tr> <tr> <td width="17%"> 
<div align="right"><font class="normal">I am a smoker:</font></div></td><td width="3%"> 
<input name="form[D_Smoke]" type="radio" value="1"<? if($form[D_Smoke]===1){ ?> checked<? } ?>> 
</td><td width="19%"> <div align="right"><font class="normal">I am a nonsmoker:</font></div></td><td width="61%"> 
<input name="form[D_Smoke]" type="radio" value="0"<? if($form[D_Smoke]==0 && $action == 'submit'){ ?> checked<? } ?>> 
</td><tr> <td colspan="4"><span class="style1">&nbsp; <input name="form[spk_English]" type="hidden" id="form[spk_English]" value="1">	
</span></td></tr> <tr> <td height="32" colspan="4" class="style2"><span class="bold"><strong>Areas 
of Interest</strong></span><br> Please check the following areas in which you 
and your organization have a strong involvement. </td></tr> <tr> <td height="106" colspan="4"><span class="style2"> 
<input name="form[int_Energy]" type="checkbox" id="form[int_Energy]" value="1"<? if($form[int_Energy]==1){ ?> checked<? } ?>> 
Renewable Energy<br> <input name="form[int_Water]" type="checkbox" id="form[int_Water]" value="1"<? if($form[int_Water]==1){ ?> checked<? } ?>> 
Water and Sanitation<br> <input name="form[int_HIV]" type="checkbox" id="form[int_HIV]" value="1"<? if($form[int_HIV]==1){ ?> checked<? } ?>> 
HIV/AIDS<br> <input name="form[int_Entrepreneurship]" type="checkbox" id="form[int_Entrepreneurship]" value="1"<? if($form[int_Entrepreneurship]==1){ ?> checked<? } ?>> 
Entrepreneurship<br> <input name="form[int_Development]" type="checkbox" id="form[int_Development]" value="1"<? if($form[int_Development]==1){ ?> checked<? } ?>> 
Rural Development <br> <input name="form[int_ICT]" type="checkbox" id="form[int_ICT]" value="1"<? if($form[int_ICT]==1){ ?> checked<? } ?>> 
Information and Communication Technology</span></td></tr> <tr> <td colspan="4">&nbsp;</td></tr> 
</table><br> </td></tr> <tr> <td bgcolor="#5A6173"> <font color="#FFFFFF" class="bigbold"><B>Section 
III. Registration Fees</B></font> </td></tr> <tr> <td valign="top"><table width="100%" border="0" cellspacing="3" cellpadding="7" align="center"> 
<tr> <td colspan = "2"> <span class="style1"><font color="#331F13" class="normal"> 
<b>*</b> <b> <?if(!$rform[C_Cost]&&$action=="submit"){?> </b> <font class="bold">Select 
the correct registration fee</font> <?}?> To confirm your registration, the total 
fee should be received: </font></span></td></tr> <tr> <td width="28%" class="normal"> 
<div align="right"><font color="#331F13" class="bold">YES Network Members</font><font color="#331F13" class="normal"></font></div></td><td width="72%"><font color="#331F13" class="normal">US$ 
200</font> <input type="radio" name="rform[C_Cost]" value="200" <? if($rform[C_Cost]==200){?>checked<? } ?>> 
</td></tr> <tr> <td class="normal"><div align="right" class="bold"><font color="#331F13" class="bold">Other 
Applicants<strong></strong></font></div></td><td><font color="#331F13" class="normal">US$ 
400</font> <input type="radio" name="rform[C_Cost]" value="400" <? if($rform[C_Cost]==400){?>checked<? } ?>> 
</td></tr> <tr> <td class="normal"> <div align="right" class="bold"><font color="#331F13" class="bold">Late 
registration (after Sept 10, 2006)</font></div></td><td><font color="#331F13" class="normal">US$ 
450</font> <input type="radio" name="rform[C_Cost]" value="450" <? if($rform[C_Cost]==450){?>checked<? } ?>> 
</td></tr> <tr> <td height="225" colspan="2"><p>To pay via CREDIT CARD: <a href="/2006/CreditCard.pdf">Click 
Here </a><br /> To pay via WIRE TRANSFER: <a href="/2006/WireTransfer.pdf">Click 
Here</a> </p><p>Should you have any problems please e-mail to<FONT COLOR="#0000CC"> 
<A HREF="mailto:%20pk@yesweb.org">pk@yesweb.org</A> </FONT> </p><ul> <li><font color="#331F13" class="normal">Each 
Applicant must complete payment of the registration fee by September 10, 2006, 
or the late registration fee will apply<b>.</b></font></li><li> <span class="normal">This 
fee only covers admission to all sessions of the YES Summit.</span></li><li class="normal">YES 
Network Coordinators maintain accurate databases of current YES Network members. 
Please check with your YES Network Coordinator to confirm prior membership of 
a YES Network.</li><li class="normal">Each invited country is reserved a maximum 
of 10 to 20 participants, with the exception of the host country, Kenya. The maximum 
number of participants at the YES Summit is 1000. The YES Campaign office will 
review all applications to ensure the attendance of diverse stakeholders.</li><li class="normal">Please 
note that the registration fees do not cover travel, meals and accomodation expenses. 
The registration fees covers only your admission to all sessions of the Summit 
and meals served during the conference.</li></ul><p><font color="#331F13" class="normal"><b>Sponsorship 
Procedure:<br> </b>At this time there is no procedure for sponsorship through 
the YES Campaign. Please watch the YES website for updates. Please begin seeking 
sponsorship from donors and funders in your country to cover airfare, visa and 
other costs immediately.</font></p></td></tr> </table></td></tr> <tr> <td bgcolor="#5a6173"> 
<font color="#FFFFFF" class="bigbold"><B>Section IV. Payment</B></font> </td></tr> 
<tr> <td height="500"> <table width="100%" border="0" cellspacing="3" cellpadding="7" align="center"> 
<tr> <td colspan="7" height="75" bgcolor = "#CC131B"> <p class="bold"><font face="Times New Roman, Times, serif" size="2">You 
are requested to send your Registrations Fees through cashier's checks payable 
to "Education Development Center, Inc" in Newton, MA, United States. Soon there 
might be also the option of paying registration fees online through a credit card 
(if it becomes feasible) and it will be announced soon at www.yesweb.org/2006. 
The fees should be payable in dollars and sent at the following address:</font></p><p><font face="Times New Roman, Times, serif" size="2"><b>Phil 
DeMarco</b></font><br> <b><font face="Times New Roman, Times, serif" size="2">Accounts 
Department</font> </b><br> <font face="Times New Roman, Times, serif" size="2"><b>Education 
Development Center, Inc. <br> 55 Chapel St<br> Newton, MA 02458-1080</b></font></p><p><font face="Times New Roman, Times, serif" size="2">.<b>Fees 
details for the various categories of delegates are given below for your reference:</b></font></p><table width="95%" border="1" height="161"> 
<tr> <td width="43"><font face="Times New Roman, Times, serif" size="2"><b>Sl 
No </b></font></td><td width="219"><font face="Times New Roman, Times, serif" size="2"><b>Category</b></font></td><td width="138"><font face="Times New Roman, Times, serif" size="2"><b>Amount 
in USD</b></font></td><td width="123"><font face="Times New Roman, Times, serif" size="2"><b>Late 
Payment Fees (after 10th September 2006) </b></font></td></tr> <tr> <td height="20" width="43"> 
<p><font face="Times New Roman, Times, serif" size="2">01</font></p><p>&nbsp;</p></td><td height="20" width="219"> 
<p><font face="Times New Roman, Times, serif" size="2">a. International Delegates 
from Africa</font></p><p><font face="Times New Roman, Times, serif" size="2">b. 
International Delegates (others)</font></p></td><td height="20" width="138"> <p><font face="Times New Roman, Times, serif" size="2">200</font></p><p><font face="Times New Roman, Times, serif" size="2">400</font></p></td><td height="20" width="123"> 
<p><font face="Times New Roman, Times, serif" size="2">225</font></p><p><font face="Times New Roman, Times, serif" size="2">450</font></p></td></tr> 
<tr> <td width="43"><font face="Times New Roman, Times, serif" size="2">02</font></td><td width="219"> 
<p><font face="Times New Roman, Times, serif" size="2">(a) Youth (up to age 30 
years)</font></p><p><font face="Times New Roman, Times, serif" size="2">(b)YES 
Country Network Members</font></p></td><td width="138"><font face="Times New Roman, Times, serif" size="2">200</font></td><td width="123"><font face="Times New Roman, Times, serif" size="2">225</font></td></tr> 
<tr> <td width="43" height="57"><font face="Times New Roman, Times, serif" size="2">03</font></td><td width="219" height="57"><font face="Times New Roman, Times, serif" size="2">African 
Youth (up to age 30 years)<br> (Note: Delegates within Kenya will get a separate 
circular on payments)</font></td><td width="138" height="57"><font face="Times New Roman, Times, serif" size="2">100</font></td><td width="123" height="57"><font face="Times New Roman, Times, serif" size="2">125</font></td></tr> 
</table></td></tr> <tr> <td height="300" colspan="7"  bgcolor = "#CC131B"><p><font color="#FFFFFF" class="normal"><br> 
<b><font color="#ffffff">*</font></b> <input name="rform[Agree]" type="checkbox" id="form[Agree]" value="1" <? if($rform[Agree] == 1){ ?>checked<? } ?>> 
I have read this application form completely and carefully and agree to all terms 
outlined within, including the cancellation policy. (see below).</font></p><table width="300" border="5" cellpadding = "7" cellspacing = "7" align="center" bgcolor = "#FFFFFF" bordercolor = "#5A6173"> 
<tr> <td height="250"> <p><span class="bigbold">Cancellation policy</span><br> 
<br> <span class="normal">Cancellation requests must be received in writing addressed 
to: </span></p><p><font face="Times New Roman, Times, serif" size="2"><b>Phil 
DeMarco Accounts <br> Department Education Development Center, Inc. 55 Chapel 
Street Newton, MA 02458-1080, United States </b></font></p><p align = "justify"><span class="normal">All 
refunds will be processed after the YES Summit. All refunds will be made either 
through a credit card refund or by check from the YES Campaign (drawn on a U.S. 
bank). Please note that cancellation requests received in writing before August 
30, 2006, will be refunded in full. Requests for cancellation after August 30, 
2006 will be issued only in the event that the applicant&#8217;s visa application 
is denied. Requests must be accompanied by appropriate documentation indicating 
a denial of the visa application.</span></p><p align = "justify">&nbsp;</p></td></tr> 
</table><p>&nbsp;</p></td></tr> </table></td></tr> <tr> <td bgcolor="#5A6173"> <font color="#FFFFFF" class="bigbold"><B> 
Section V. 10-Question Survey</B></font></td></tr> <tr> <td align="left" valign="top"><br> 
<table width="770" border="0" cellspacing="3" cellpadding="5"> <tr> <td colspan="6" class="normal"><P align = "justify" class="style1">This 
survey will help the YES team understand the effectiveness of its campaign activities. 
Additionally, the survey strengthens our understanding of the experience and skills 
of delegates attending the Summit. There will be additional surveys at the conclusion 
of the YES Summit, and six months later, in February 2007.</p></td></tr> <tr> 
<td colspan="6">&nbsp;</td></tr> <tr valign="bottom"> <td colspan="2" class="normal"><font class="style2"><b>*</b></font>1. 
Have you attended any previous summits? </td><td class="normal"><input type="radio" name="rform[Q_1]" value="3"<? if ($rform[Q_1] == 1) { ?> checked<? } ?>> 
2004 only </td><td width="104"><span class="normal"> <input type="radio" name="rform[Q_1]" value="2"<? if ($rform[Q_1] == 1) { ?> checked<? } ?>> 
2002 only </span><br> </td><td width="108"><span class="normal"> <input type="radio" name="rform[Q_1]" value="1"<? if ($rform[Q_1] == 0 && $action == 'submit') { ?> checked<? } ?>> 
2004 &amp; 2002 </span></td><td width="95"><input type="radio" name="rform[Q_1]" value="0"<? if ($rform[Q_1] == 1) { ?> checked<? } ?>> 
<span class="menu">none</span></td></tr> <tr valign="middle"> <td height="40" colspan="6"><font color="#331F13" class="style5">.............................................................................................................................................................................................................................................</font></td></tr> 
<tr valign="bottom"> <td height="40" colspan="6" class="normal"><font color="#331F13" class="normal"><b><font class="style2"><b>*</b></font></b></font>2. 
To what extent do you participate in dialogue with other stakeholders in your 
country on youth employment issues?<em>I participate...</em></td></tr> <tr valign="bottom"> 
<td width="145" class="normal"><input type="radio" name="rform[Q_2]" value="5"<? if ($rform[Q_2] == 5) { ?> checked<? } ?>> 
Very Often</td><td width="119" class="normal"><input type="radio" name="rform[Q_2]" value="4"<? if ($rform[Q_2] == 4) { ?> checked<? } ?>> 
Often</td><td width="118"><span class="normal"> <input type="radio" name="rform[Q_2]" value="3"<? if ($rform[Q_2] == 3) { ?> checked<? } ?>> 
Sometimes</span></td><td><span class="normal"> <input type="radio" name="rform[Q_2]" value="2"<? if ($rform[Q_2] == 2) { ?> checked<? } ?>> 
Rarely</span></td><td colspan="2"><span class="normal"> <input type="radio" name="rform[Q_2]" value="1"<? if ($rform[Q_2] == 1) { ?> checked<? } ?>> 
Not at all</span></td></tr> <tr valign="middle"> <td height="40" colspan="6"><font color="#331F13" class="style5">.............................................................................................................................................................................................................................................</font></td></tr> 
<tr valign="bottom"> <td height="40" colspan="6" class="normal"><font class="style2"><b>*</b></font>3. 
In the last year, how often did you participate in youth employment programs? 
<em>I participated...</em></td></tr> <tr valign="bottom"> <td class="normal"><input type="radio" name="rform[Q_3]" value="5"<? if ($rform[Q_3] == 5) { ?> checked<? } ?>> 
Very Often</td><td class="normal"><input type="radio" name="rform[Q_3]" value="4"<? if ($rform[Q_3] == 4) { ?> checked<? } ?>> 
Often</td><td><span class="normal"> <input type="radio" name="rform[Q_3]" value="3"<? if ($rform[Q_3] == 3) { ?> checked<? } ?>> 
Sometimes</span></td><td><span class="normal"> <input type="radio" name="rform[Q_3]" value="2"<? if ($rform[Q_3] == 2) { ?> checked<? } ?>> 
Rarely</span></td><td colspan="2"><span class="normal"> <input type="radio" name="rform[Q_3]" value="1"<? if ($rform[Q_3] == 1) { ?> checked<? } ?>> 
Not at all</span></td></tr> <tr valign="middle"> <td height="40" colspan="6"><font color="#331F13" class="style5">.............................................................................................................................................................................................................................................</font></td></tr> 
<tr valign="bottom"> <td height="40" colspan="6" class="normal"><font color="#331F13" class="normal"><b><font class="style2"><b>*</b></font></b></font>4. 
How often do you work with policymakers to improve youth employment?<em> I work 
with policymakers&#8230;</em></td></tr> <tr valign="bottom"> <td class="normal"><input type="radio" name="rform[Q_4]" value="5"<? if ($rform[Q_4] == 5) { ?> checked<? } ?>> 
Very Often</td><td class="normal"><input type="radio" name="rform[Q_4]" value="4"<? if ($rform[Q_4] == 4) { ?> checked<? } ?>> 
Often</td><td><span class="normal"> <input type="radio" name="rform[Q_4]" value="3"<? if ($rform[Q_4] == 3) { ?> checked<? } ?>> 
Sometimes</span></td><td><span class="normal"> <input type="radio" name="rform[Q_4]" value="2"<? if ($rform[Q_4] == 2) { ?> checked<? } ?>> 
Rarely</span></td><td colspan="2"><span class="normal"> <input type="radio" name="rform[Q_4]" value="1"<? if ($rform[Q_4] == 1) { ?> checked<? } ?>> 
Not at all</span></td></tr> <tr valign="middle"> <td height="40" colspan="6"><font color="#331F13" class="style5">.............................................................................................................................................................................................................................................</font></td></tr> 
<tr valign="bottom"> <td height="40" colspan="6" class="normal"><font color="#331F13" class="normal"><b><font class="style2"><b>*</b></font></b></font>5. 
How would you describe your country&#8217;s youth employment policies? <em>I would 
describe them as&#8230;</em></td></tr> <tr valign="bottom"> <td class="normal"><input type="radio" name="rform[Q_5]" value="5"<? if ($rform[Q_5] == 5) { ?> checked<? } ?>> 
Very effective</td><td class="normal"><input type="radio" name="rform[Q_5]" value="4"<? if ($rform[Q_5] == 4) { ?> checked<? } ?>> 
Effective</td><td><span class="normal"> <input type="radio" name="rform[Q_5]" value="3"<? if ($rform[Q_5] == 3) { ?> checked<? } ?>> 
Somewhat effective</span></td><td><span class="normal"> <input type="radio" name="rform[Q_5]" value="2"<? if ($rform[Q_5] == 2) { ?> checked<? } ?>> 
Rarely effective</span></td><td colspan="2"><span class="normal"> <input type="radio" name="rform[Q_5]" value="1"<? if ($rform[Q_5] == 1) { ?> checked<? } ?>> 
Not effective at all</span></td></tr> <tr valign="middle"> <td height="40" colspan="6"><font color="#331F13" class="style5">.............................................................................................................................................................................................................................................</font></td></tr> 
<tr valign="bottom"> <td height="40" colspan="6" class="normal"><font color="#331F13" class="normal"><b><font class="style2"><b>*</b></font></b></font>6. 
To what extent do you exchange information with YES Networks in other countries? 
<em>I exchange information...</em></td></tr> <tr valign="bottom"> <td class="normal"><input type="radio" name="rform[Q_6]" value="5"<? if ($rform[Q_6] == 5) { ?> checked<? } ?>> 
Always</td><td class="normal"><input type="radio" name="rform[Q_6]" value="4"<? if ($rform[Q_6] == 4) { ?> checked<? } ?>> 
Often</td><td><span class="normal"> <input type="radio" name="rform[Q_6]" value="3"<? if ($rform[Q_6] == 3) { ?> checked<? } ?>> 
Sometimes</span></td><td><span class="normal"> <input type="radio" name="rform[Q_6]" value="2"<? if ($rform[Q_6] == 2) { ?> checked<? } ?>> 
Rarely</span></td><td colspan="2"><span class="normal"> <input type="radio" name="rform[Q_6]" value="1"<? if ($rform[Q_6] == 1) { ?> checked<? } ?>> 
Never</span></td></tr> <tr valign="middle"> <td height="40" colspan="6" class="style5"><font color="#331F13" class="style5">.............................................................................................................................................................................................................................................</font></td></tr> 
<tr valign="bottom"> <td height="40" colspan="6" class="normal"><font color="#331F13" class="normal"><b><font class="style2"><b>*</b></font></b></font>7. 
To what extent do you feel capable of implementing youth employment programs? 
<em>I am...</em></td></tr> <tr valign="bottom"> <td class="normal"><input type="radio" name="rform[Q_7]" value="5"<? if ($rform[Q_7] == 5) { ?> checked<? } ?>> 
Very capable</td><td class="normal"><input type="radio" name="rform[Q_7]" value="4"<? if ($rform[Q_7] == 4) { ?> checked<? } ?>> 
Capable</td><td><span class="normal"> <input type="radio" name="rform[Q_7]" value="3"<? if ($rform[Q_7] == 3) { ?> checked<? } ?>> 
Somewhat capable</span></td><td><span class="normal"> <input type="radio" name="rform[Q_7]" value="2"<? if ($rform[Q_7] == 2) { ?> checked<? } ?>> 
Not very capable</span></td><td colspan="2"><span class="normal"> <input type="radio" name="rform[Q_7]" value="1"<? if ($rform[Q_7] == 1) { ?> checked<? } ?>> 
Not capable at all</span></td></tr> <tr valign="middle"> <td height="40" colspan="6"><font color="#331F13" class="style5">.............................................................................................................................................................................................................................................</font></td></tr> 
<tr valign="bottom"> <td height="40" colspan="6" class="normal"><font color="#331F13" class="normal"><b><font class="style2"><b>*</b></font></b></font>8. 
To what extent do you have access to good information on youth employment? <em>I 
have...</em></td></tr> <tr valign="bottom"> <td class="normal"><input type="radio" name="rform[Q_8]" value="5"<? if ($rform[Q_8] == 5) { ?> checked<? } ?>> 
Great access</td><td class="normal"><input type="radio" name="rform[Q_8]" value="4"<? if ($rform[Q_8] == 4) { ?> checked<? } ?>> 
Good access</td><td><span class="normal"> <input type="radio" name="rform[Q_8]" value="3"<? if ($rform[Q_8] == 3) { ?> checked<? } ?>> 
Some access</span></td><td><span class="normal"> <input type="radio" name="rform[Q_8]" value="2"<? if ($rform[Q_8] == 2) { ?> checked<? } ?>> 
Poor access</span></td><td colspan="2"><span class="normal"> <input type="radio" name="rform[Q_8]" value="1"<? if ($rform[Q_8] == 1) { ?> checked<? } ?>> 
No access</span></td></tr> <tr valign="middle"> <td height="40" colspan="6"><font color="#331F13" class="style5">.............................................................................................................................................................................................................................................</font></td></tr> 
<tr valign="bottom"> <td height="40" colspan="6" class="normal"><font color="#331F13" class="normal"><b><font class="style2"><b>*</b></font></b></font>9. 
To what extent do you feel you understand the region&#8217;s current youth employment 
situation?<em> I understand it...</em></td></tr> <tr valign="bottom"> <td class="normal"><input type="radio" name="rform[Q_9]" value="5"<? if ($rform[Q_9] == 5) { ?> checked<? } ?>> 
Very well</td><td class="normal"><input type="radio" name="rform[Q_9]" value="4"<? if ($rform[Q_9] == 4) { ?> checked<? } ?>> 
Well</td><td><span class="normal"> <input type="radio" name="rform[Q_9]" value="3"<? if ($rform[Q_9] == 3) { ?> checked<? } ?>> 
Somewhat</span></td><td><span class="normal"> <input type="radio" name="rform[Q_9]" value="2"<? if ($rform[Q_9] == 2) { ?> checked<? } ?>> 
Not very well</span></td><td colspan="2"><span class="normal"> <input type="radio" name="rform[Q_9]" value="1"<? if ($rform[Q_9] == 1) { ?> checked<? } ?>> 
Not at all</span></td></tr> <tr valign="middle"> <td height="40" colspan="6"><font color="#331F13" class="style5">.............................................................................................................................................................................................................................................</font></td></tr> 
<tr valign="bottom"> <td height="40" colspan="6" class="normal"><font class="style2"><b>*</b></font>10. 
How effective would you feel in participating in the creation of a national youth 
employment strategy? <em>I would be... </em></td></tr> <tr valign="bottom"> <td class="normal"><input type="radio" name="rform[Q_10]" value="5"<? if ($rform[Q_10] == 5) { ?> checked<? } ?>> 
Very effective</td><td class="normal"><input type="radio" name="rform[Q_10]" value="4"<? if ($rform[Q_10] == 4) { ?> checked<? } ?>> 
Effective</td><td><span class="normal"> <input type="radio" name="rform[Q_10]" value="3"<? if ($rform[Q_10] == 3) { ?> checked<? } ?>> 
Somewhat effective</span></td><td><span class="normal"> <input type="radio" name="rform[Q_10]" value="2"<? if ($rform[Q_10] == 2) { ?> checked<? } ?>> 
Not very effective</span></td><td colspan="2"><span class="normal"> <input type="radio" name="rform[Q_10]" value="1"<? if ($rform[Q_10] == 1) { ?> checked<? } ?>> 
Not effective at all</span></td></tr> </table></td></tr> <tr> <td bgcolor="#5A6173"> 
<font color="#FFFFFF" class="bigbold"><B> Section VI. Global Alliance Account</B></font></td></tr> 
<tr> <td height="69"> <br> <table width="100%" border="0" cellspacing="0" cellpadding="4" align="center"> 
<tr> <td bgcolor = "#CC131B"><font class="normal" color = "#FFFFFF">As a registrant 
for the YES Summit, you will be added to the YES Global Alliance Database, powered 
by TakingITGlobal. If you are already a Global Alliance or TakingITGlobal member, 
please check off the &quot;Already a member&quot; box, otherwise please fill out 
a desired username and password.</font> </td></tr> <tr> <td> <table width="75%" border="0" align="center"> 
<tr> <td width="7%"> <input type="radio" name="member" value="1" <? if ($member == 1) { ?> checked<? } ?>> 
</td><td colspan="2"><font class="normal">Already a TIG/YES Global Alliance Member</font></td></tr> 
<tr> <td> <input type="radio" name="member" value="0" <? if ($member == 0) { ?> checked<? } ?>> 
</td><td width="43%"><font class="normal">Sign me up!</font></td><td width="50%">&nbsp;</td></tr> 
<tr> <td colspan="3">&nbsp;</td></tr> <?
			if ($action == 'submit' && (!$Username || !$Password || ($member != 1 && (!$Password || $Password != $RePassword)) || strstr($eis,'5'))) {
?> <tr> <td colspan="3"><font color="#000000" class="normal"> <?if(strstr($eis,'a')){?> 
You must enter a valid username [a-z, 0-9]. <?}elseif( $userpwderror ){?> The 
username/password combination you supplied do not match up. If you forget your 
TIG / YES Global Alliance username and password, please <a href="http://www.takingitglobal.org/community/login.html?login=lostpassword">click 
here</a> to have them e-mailed to you; please do this and then sign up! <?}elseif($rform[Password] != $rform[RePassword]){?> 
The two passwords do not match up. <? } elseif (!$rform[Password]) { ?> You must 
select a password. <? } elseif (strstr($eis,'b')) { ?> The username you selected 
is already taken. <? } ?> Please make the necessary changes and resubmit the form.</font></td></tr> 
<?
			}
?> <tr> <td colspan="2"><font class="normal">Username</font></td><td> <input name="rform[Username]" type="text" id="rform[Username]" class="normal" value="<?=$rform[Username]?>"> 
</td></tr> <tr> <td colspan="2"><font class="normal">Password</font></td><td> 
<input name="rform[Password]" type="password" id="rform[Password]" class="normal"> 
</td></tr> <tr> <td colspan="2"><font class="normal">Password (again)</font></td><td> 
<input name="rform[RePassword]" type="password" id="rform[RePassword]" class="normal"> 
</td></tr> </table></td></tr> </table><br> <br> </td></tr> <tr> <td class="big"><p align="center"><FONT COLOR = "#FF0000">Before 
submitting, please ensure that you have completed all fields marked with *</FONT></p><p align="center"><font color="#331F13" class="normal"> 
<input type="hidden" name="action" value="submit"> <input type="submit" name="Submit" value="Submit"> 
</font></p><p>Please note: if you are unsuccessful in your attempt to submit this 
form, a technical cause is likely. Please download the application <b><a href="Registration%20form_Kenya%202006.doc"><font color="#0000FF">Registration 
Form</font></a> <br> </b> form as a Word document and submit it as an attachment 
to<font color="#0000FF"><b><a href="mailto:info@yesweb.org"> info@yesweb.org</a>. 
</b></font></p><p><br> </p></td></tr> </table></form><?
}
}
?> 
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