Application for the Ugenini Experience Name * First Name Last Name Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Are you of Kenyan Decent? Yes No Age Group Adolescent 13-17 years old Young Adult 18-24 years old Professional 25+ years old Write a paragraph * What do you hope to gain from the Ugenini Experience? Thank you for applying for the Ugenini Experience. You application will be reviewed and a team member will reach out shortly.