2018 AYLD Application Form
2018 AYLD Application Form
2018 AYLD Application Form
FOR DEMOCRACY
PROGRAM
Application Form
1. Please send the completed application via email (PDF format) to
[email protected]
2. Applications must be received no later than May 15th, 2018. Late
applications will not be accepted.
I. Basic Information
PHOTO
Given Name: _________________________
Gender: ____________________
Nationality: _________________
Tel: __________________________
Organization/Institution: _______________________________
Title/Position: ________________________
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II. Attendance Commitment
□I commit myself to attending the program for its full duration.
Personal Background
Describe your personal and professional experience in terms of your work as a
democracy and human rights advocate. Please also include a description of your
accomplishments and any awards you received for your work in furthering
democracy and human rights in your country and elsewhere. (Limit: 500 words)
Vision
Provide a description of what you believe to be one of the major obstacles to the
progress of democracy and human rights. How has your own work helped to
overcome these issues and problems? What are your plans following the
completion of the AYLD program and how do you think this program can help
you in terms of your own vision and career path? (Limit: 500 words)
IV. Experience
Have you ever attended AYLD in the past?
□Yes □No
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V. Referees
Please provide the information of your two referees. Please attach the two
recommendation letters in PDF format with your application e-mail directly
to [email protected].
REFEREE 1
Name:______________________
Title/Position:___________________________
Organization/Institution: _______________________________
E-mail: _______________________________
REFEREE 2
Name:_______________________
Title/Position:___________________________
Organization/Institution: _______________________________
E-mail: _______________________________