	Application for the 「2040 Seoul Plan Supporters」

Name
Date of Birth	YYYY.MM.DD					Gender			M / F
Address
Phone Number						E-mail
Occupation
Areas of Interest		Urban & Spatial Planning			Land Use & Housing			Transportation				Safety & Environment
		Culture			Economy			4th Industrial Revolution				Other(Please Specify) ( )
Social Network Service Account Information (where applicable)	Type		Username / URL				Type			Username / URL
	Blog						Twitter
	Instagram						YouTube
	Facebook						Other
Job/Other Related Experiences
Privacy Policy	[Use of Data] : Organization and operation the 「2040 Seoul Plan Supporters」 program (hereafter the Supporters). [Types of Data Collected] : Name, Date of Birth, Address, Phone Number, E-mail, Occupation, Areas of Interest, Social Networks Services Account Information, and Related Experiences. [Period] : From the day of signed agreement until the dismissal of the Supporters. ※ All personal data collected will be used exclusively for the organization and operation of the Supporters program. [Disadvantages] : You have the right to disagree with the collection and use of your personal data. However, in case of disagreement, your participation in the Supporters program may be restricted.
				Agree							Disagree
Statement of Purpose (No word limit)	1. Describe what motivated you to apply for the 「2040 Seoul Plan Supporters」.
	2. Choose one of the challenges Seoul is facing and describe your viewpoint regarding your selected issue.

I, the undersigned, hereby submit my application for the 「2040 Seoul Plan Supporters」 program.

Date: __________________

Signature: __________________