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  • GALAAcademy2013 Annex1 ApplicationForm

    Загружено:

    INFID JAKARTA
    24 просмотров4 страницы
    Glocal Advocacy Leadership in Asia APPLICATION FORM 1. Personal Data Name Date of Birth Nationality in Passport Address Tel Fax Email Skype ID Given Name: Family Name: dd-mm-year Sex ( )M ( )F Passport No. 2. Organization Data Organization (Full name) Position Your role, responsibilities and duration of work (number of years) 4. Organizational Thematic Priority Issues for International Advocacy Please indicate the name of international network(s) which your organization

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    Glocal Advocacy Leadership in Asia APPLICATION FORM 1. Personal Data Name Date of Birth Nationality in Passport Address Tel Fax Email Skype ID Given Name: Family Name: dd-mm-year Sex ( )M ( )F Passport No. 2. Organization Data Organization (Full name) Position Your role, responsibilities and duration of work (number of years) 4. Organizational Thematic Priority Issues for International Advocacy Please indicate the name of international network(s) which your organization

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    Attribution Non-Commercial (BY-NC)
    Скачайте в формате PDF, TXT или читайте онлайн в Scribd
    Отметить как неприемлемый контент
    24 просмотров4 страницы

    GALAAcademy2013 Annex1 ApplicationForm

    Загружено:

    INFID JAKARTA
    Glocal Advocacy Leadership in Asia APPLICATION FORM 1. Personal Data Name Date of Birth Nationality in Passport Address Tel Fax Email Skype ID Given Name: Family Name: dd-mm-year Sex ( )M ( )F Passport No. 2. Organization Data Organization (Full name) Position Your role, responsibilities and duration of work (number of years) 4. Organizational Thematic Priority Issues for International Advocacy Please indicate the name of international network(s) which your organization

    Авторское право:

    Attribution Non-Commercial (BY-NC)
    Скачайте в формате PDF, TXT или читайте онлайн в Scribd
    Отметить как неприемлемый контент
    из 4

    GlocalAdvocacyLeadershipinAsia

    GALA ACADEMY
    2531August2013/Bogor,Indonesia

    APPLICATIONFORM
    1. PersonalData
    Name DateofBirth NationalityinPassport Address Tel Fax Email SkypeID GivenName: FamilyName: ddmmyear Sex ( )M ( )F PassportNo. countrycodeareacodenumber Home Mobile countrycodeareacodenumber

    2. OrganizationData
    Organization (Fullname) Position Yourrole, responsibilities anddurationof work(numberof years) Address Tel Fax Email Website 1 of 4 countrycodeareacodenumber countrycodeareacodenumber

    3. OrganizationDataRelatedtoInternationalAdvocacy
    *Pleaseindicatethenameofinternationalnetwork(s)whichyourorganizationisaffiliatedto InternationalGovernmental/MultistakeholdersProcesses Y/N OrganizationalAffiliation* Post2015DevelopmentAgenda UNCAS(Rio+20)and/orOWGSDGs PostIstanbul:LeastDevelopmentCountries(LDCs) OECDHLF4(Busan)andGPEDC UNDevelopmentCooperationForum(UNDCF) UNHumanRightsCounciland/orSpecialProcedures UniversalPeriodicReview(UPR) UNHumanRightsTreatyBodies UNESCAP OECD IFIs(WorldBankandIMF) AsiaDevelopmentBank(ADB) G20Summit BRICS G7+ Others(pleasespecify)

    4. OrganizationalThematicPriorityIssuesforInternationalAdvocacy
    Whatarethetop5prioritytopicsforyourorganizationorplatformintermsofnationalandinternational advocacy? (e.g. human rights defenders, freedoms of expression/assembly/association, health, food and nutrition,adequatehousing,corporateaccountability,transparency&stateaccountability,ODA,human rightsbasedapproach(HRBA),climatechange,peace,etc.) 1) 2) 3) 4) 5)

    5. Applicants Work Experience related to Post 2015 Development Agenda and/orHumanRights


    Organization Period TitleandRole

    2 of 4

    6. Applicants Academic and Training related to Post 2015 Development Agendaand/orHumanRights


    Meeting,CampaignorTraining Period,Venue,etc. BriefDescriptionofYourRole

    7. Englishlanguageproficiency
    ShortlistedcandidatesmaybeinterviewedinEnglishoverSkypeforfinalselection.Pleaseindicateyour levelofEnglishproficiency. English Fluent Good Intermediate Basic Spoken Written Comprehension

    8. Motivation
    Why are you interested in applying for the 1st GALA Academy? Please briefly specify some of your expectations.(i.e.learningobjectives,topicscovered,etc.)(Maximum200words)

    3 of 4

    9. Reference
    FromApplicantscountry
    Name Title Organization PhoneNumber EmailAddress

    OtherCountriesinAsia(Optional)
    Name Title Organization PhoneNumber EmailAddress

    10.

    FinancialSubsidy
    Ineedafullfinancialsubsidyincludinginternationalairfareandlocalaccommodation. IneedapartialfinancialsubsidyforlocalexpensesandIcanpayformyinternationalairfare. Idonotneedafinancialsubsidy;Icancovermytravelandpay1,000USDtocoverlocalexpenses.

    Signature: Date:

    Completedapplicationformsmustbesentto GalaAcademy2013@gmail.com nolaterthan5July2013. The application must be accompanied by a recommendation letter (annex 2) andanessayon the final report of the UN HLP on Post2015 DevelopmentAgenda(annex3).

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