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Call for Applications from young leaders from low and middle-income countries
While applicants under the age of 30 will be considered, we particularly encourage young people between the ages of 18 and 24 to apply. All applicants must have a valid passport with a minimum of 1 year until expiry. We are particularly keen to have the participation of young people from low and middle income countries. For that reason, priority will be given to applicants from the following countries:
Afghanistan Albania Algeria American Samoa Angola Argentina Armenia Azerbaijan Bangladesh Belarus Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Bulgaria Burkina Faso Burundi Cambodia Cameroon Cape Verde Central African Republic Chad China Colombia Comoros Congo, Dem. Rep Congo, Rep. Costa Rica Cte d'Ivoire Cuba Djibouti Dominica Dominican Republic Ecuador Egypt, Arab Rep. El Salvador Eritrea Ethiopia Fiji Gabon Gambia, The Georgia Ghana Grenada Guatemala Guinea Guinea-Bisau Guyana Haiti Honduras Hungary India Indonesia Iran, Islamic Rep. Iraq Jamaica Jordan Kazakhstan Kenya Kiribati Korea, Dem Rep. Kosovo Kyrgyz Republic Lao PDR Lebanon Lesotho Liberia Libya Macedonia, FYR Madagascar Malawi Malaysia Maldives Mali Marshall Islands Mauritania Mauritius Mexico Micronesia, Fed. Sts. Moldova Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nepal Nicaragua Niger Nigeria Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Romania Rwanda Samoa So Tom and Principe Senegal Serbia Seychelles Sierra Leone Solomon Islands Somalia South Africa South Sudan Sri Lanka St. Lucia St. Vincent and Grenadines Sudan Suriname Swaziland Syrian Arab Republic Tajikistan Tanzania Thailand Timor-Leste Togo Tonga Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine Uzbekistan Vanuatu Venezuela, RB Vietnam West Bank and Gaza Yemen, Rep. Zambia Zimbabwe
Application form
General Information
First/given name: Click here to enter text. Surname/family name: Click here to enter text. Date of birth: Choose an item. Gender: Choose an item. Nationality: Click here to enter text. Full postal address for correspondence:
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Email address:
Website (if any): Click here to enter text. Affiliated Organisation (if any): Click here to enter text. Position within Organisation (if applicable): Click here to enter text.
2. Please describe your experience on and/or with decision-making bodies, advisory panels and/or networks related to adolescent health, youth participation and/or youth leadership. (Up to 3000 characters).
3. Please describe any experience you have in fostering youth participation through social media and/or social networks. (Up to 3000 characters).
4. What additional skills, expertise, or experience would you bring to the Lancet Commission and how will it positively impact the outcome of the Commission? (Up to 3000 characters).
5. Will you be able to participate in two in-person meetings of three days each between January, 2014 and December, 2015? Choose an item. 6. Will you be able to contribute approximately 100-150 hours per year, or an average of 10-12 hours per month in 2014 and 2015 to the Commissions work? Choose an item.
REFERENCES (REQUIRED)
Please provide the contact details of two referees. Referees should be people closely familiar with your activities on behalf of adolescent health and/or youth participation who can comment on your potential contribute significantly to the work of the commission. (It would be helpful to notify your references so that they can expect to receive an email from the Commission.) Referee #1 Full name: Click here to enter text. Job Title: Click here to enter text.
Organisation: Click here to enter text. Postal Address for Correspondence: Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text.
Phone Number (including international and national dialing code): Click here to enter text. Email Address: Click here to enter text. Relationship to you: Click here to enter text.
Referee #2 Full name: Click here to enter text. Job Title: Click here to enter text.
Organisation: Click here to enter text. Postal Address for Correspondence: Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text.
Phone Number (including international national dialing code): Click here to enter text. Email Address: Click here to enter text. Relationship to you: Click here to enter text. COMPLETED APPLICATIONS SHOULD BE SENT TO: KSIEVWRIGHT@ICRW.ORG NO LATER THAN 5 PM WASHINGTON, DC TIME ON NOVEMBER 22, 2013