GRASSROOT YOUTH DEMOCRACY CALL for PARTICIPANTS April 2015 to March2016 Phase1/ Seminar – Montevideo / Uruguay: 15/22April 2015 Phase2/ Media training - Rome / Italy: 07/15May2015 Phase 3/ Job-shadowing: 2 months - 15thMay – 15th July / 15thJuly – 15thSeptember2015 Phase4/ Research and Campaigning: from September 2015 to January 2016 Phase5/ Final conference – Rome / Italy: February 2016 Please send by the 1st of March this filled application + your CV to [email protected] Requested characteristics - Aged between 21 and 35 years old. - Available throughout the entire project development (from April 2015 to February 2016), and committed to participate at all the phases of the project. - Language knowledge: . English intermediate (written and spoken) as articles and reports will be in English. . French knowledge is necessary to participate to phase 3 in Mauritius. . Spanish knowledge is necessary to participate to phase 3 Uruguay and Ecuador. - Good capacities in writing articles, reports and implementing a research. - Capacity to adapt and work in an group and in autonomy, in an intercultural context and in difficult and stressful situations. - Strong motivation to work on issues linked to water and sanitation as a human right. Desirable characteristics - Capacities and knowledge on media (computer, video & photo editing). - Significant experience in volunteering and/or activism. Basic information (fill in fully all the space bellow, they could be needed for the project needs) Personal information Surname/family name: (as written in passport) First name: Date of birth: Female: Male: (day, month, year) Nationality: Personal Address: Email: Phone Home: Mobile: Passport Information Passport Number: Date ofexpiration: Date of issue: Place of issue: Emergency Contact Full Name: Mobile number: Email Address: Language skills English French Spanish Native tongue Very good Good Spoken Written Understand Spoken Written Understand Spoken Written Understand For the following questions, please write briefly your most important arguments in English. Poor Motivation &contribution What is/are your motivation(s) in taking part in this project? How do you imagine you can personally contribute to the whole project? Please indicate the preference of the 2 months Job-shadowing destination (indicate 1 for the first choice until 4 for last choice): For participants from India / Mauritius/ Uruguay / Ecuador: Italy Greece For participants from Italy / Greece: India Uruguay Mauritius Ecuador Experiences Do you have any previous volunteering and/or activism experience(s)? If yes, please describe it/thembriefly (role, period, thematics...). Have you been involved in activities that focused on issues linked to campaigning, defending human and/or ecological right, common goods? Do you have any experience in media tools (video making / photo / web) and in communication activities (role, period, thematics...)? Expectations What are your expectations towards this project? What would you like to learn and understand regarding the issues of the project? Other relevant information You can state here any other information not already mentioned, you would like to share, which you consider relevant for the project. (e.g. studies, hobbies, civil society involvement, life experience, personal interests etc.) Logistic questions / Special needs Do you have any special needs or requirements (e.g. dietary, disability, etc.)? Please specify: Declaration and commitment I am fully aware that my participation in this activity is a huge investment of the organisers (in terms of logistic, finances, time and personal involvement of all people engaged) in my personal learning experience. I declare that the information provided in my application is true. I commit myself to participate actively in the whole duration of the project, to all events, with no late arrival and early departure or leaving sessions; I promise to share the experiences gained with other fellows from my sending organisation and / or other persons in my professional / private / volunteer environment; I commit to implement learned experience at the local level, acting ad a multiplier. I read and approve the text of the declaration. Date: Signature:
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