participation request form

advertisement
Youth – Feeding the Future
Addressing the challenges faced by rural youth aged 15 to 17 in preparing for and accessing decent work
FAO HQ, Rome, Italy
PERSONAL DETAILS
Please use the name on your passport
First name______________________________________________________________________________
Middle name(s) (only if on passport)_________________________________________________________
Family name(s) __________________________________________________________________________
Nationality _____________________________________________________________________________
 Female͏  ͏Male
Do you have a valid Schengen visa for travel to Italy?  Yes  ͏No
Expiration date of passport_________________________________________________________________
LANGUAGE
Working proficiency in (select all that apply):  English  French  Spanish
Mother tongue__________________________________________________________________________
CRITERIA FOR SELECTION
Participants who meet the following criteria will be considered for participation, taking into account
representation of the different thematic areas and knowledge and experience from different regions.
Specific knowledge or concrete experience in one of the following:
-
the 15-17 age group, preferably related to work in agriculture and the rural economy
solutions addressing one or more of the challenges1 faced by rural youth with experience in
applying it for under 18s
policy or legislative change that addresses at least one of the challenges
scaling-up programmes that improve employment outcomes for rural youth under 18
To provide an idea of how you would contribute to the expert meeting, kindly provide the following
information:
Area(s) of expertise________________________________________________________________________
Does your knowledge and experience relate to rural youth in general or specifically those under 18?
 Rural youth 18-24+  Rural youth under 18  Rural youth of all ages  Other: Specify ____________ ͏
Geographic area(s) of most relevance to this knowledge and experience:
1
See examples below
Challenge that your knowledge or experience will help address (check the box)
Access to knowledge information and
education
Access to vocational training in rural areas
Access to land
Access to finance
Access to decent jobs – green jobs
Access to decent jobs – small and medium
agrientreprises
Other – Please specify:
Participation in rural or representative
organizations (e.g. producers organizations)
Occupational safety and health risks
Access to markets
Participation in policy dialogue
Exclusion from policies and programmes
supporting youth employment
Life risks (e.g. early marriage and pregnancy,
involvement in violence, threats to security)
Example, if available, of a relevant policy, programme or case study on which you are knowledgeable that
you could share before the expert meeting and that could be used to inform the recommendations that will
be developed. Of particular interest are those with demonstrated successes or lessons learned that can be
shared. Please explain:
-
If it is a programme/a policy/a case study or other
If it is on a large scale or local scale
The principal challenge being addressed and the ‘solution’
The major ‘success’ and critical ‘lesson learned’
Implementer(s) and main stakeholders involved
Beneficiaries (number/description)
When/where
Anything else you wish to add to explain how your knowledge and expertise will contribute to the
formulation of policy and programme recommendations to support rural youth under 18 in preparing for
and accessing decent work (including both wage and self-employment):
JOB DETAILS
Organization/Institution/Company name (full name and acronym) Insert N.A. if not applicable
Type of organization_______________________________________________________________________
Department/division/unit__________________________________________________________________
Your current position______________________________________________________________________
Briefly describe your current work and responsibilities
FINANCIAL SUPPORT
How do you intend to finance your participation?
Name of the sponsoring institution (N/A if not applicable)
Contact person in the sponsoring institution (N/A if not applicable)
Email address of the contact person (N/A if not applicable)
Check box if participation depends on sponsorship by FAO 
EDUCATIONAL BACKGROUND
Give full details of your highest academic qualification and any other relevant qualifications
CONTACT INFORMATION
Professional contacts preferred - if not available indicate private contacts
Work address: Street address, City, Country
_______________________________________________________________________________________
Website_________________________________________________________________________________
Phone number (please include local prefix)_____________________________________________________
Mobile__________________________________________________________________________________
Skype contact ____________________________________________________________________________
Fax number (please include local prefix) _______________________________________________________
Email address (professional, if not available indicate a private email), confirm email, other email
The above information will be treated as confidential.
The personal data collected and recorded will be used for the purpose of processing your application and
will not be disclosed or used for purposes incompatible with those of the Food and Agriculture Organization
of the United Nations.
Please retain a copy for your own records.
For further information please contact: end-child-labour@fao.org
I understand that this application will be reviewed and experts will be selected according to relevant
professional and/or educational background and provided that places are available. I also understand that
if my participation is subject to clearance by my government or to approval by a particular agency in my
country, I will comply with this requirement.
 Yes  No
By submitting this application, I certify that the statements made by me in answer to the above questions
are true, complete and accurate to the best of my knowledge.
 Yes  No
Download