S WE D E N Training in Digital Security; September 7-9,2015, Turkey Application Form Please fill in the questions below: Name/Surname: Country: Cell Phone: Address: Gender: City: Email: Date of Birth: 1.Experience in organizing for women´s rights, socially and/or politically. Describe your personal as well as professional commitment to women´s rights. 2.What is your background as an activist, human rights defender? Are you engaged in any of the organizations, non-formal groups? If yes, please specify where and what are your exact role there? 3. What do you feel is your current risk level pertaining to digital information and communication? 3.1. What do you feel is your current risk level pertaining to physical security? Please underline: Answer on Q 3. [very low], [low], [medium], [high], [very high] please explain why you feel this way: Please underline: Answer on Q 3.1. [very low], [low], [medium], [high], [very high] please explain why you feel this way: 4.How well are you familiar with computer software and internet? What is your experience in daily usage of Internet and computers for work with files, external disks, emails, chat? 4.1. What Operational System do you use (Windows, Mac, Linux)? Answer 4. Answer 4.1. 1 5. what are most important needs related to digital information and communication that you have - Please provide at least 3 needs 6.Do you have any special needs or dietary requirements that the organisers should take into account (e.g. dietary (vegan, vegetarian, halal, gluten free, lacto intolerant, allergic on sea food), disability, etc.)? 7.Contact details of the person to contact in case of emergency (name, address, phone and relation to the applicant) Language Skills: Language Do not speak Beginner Intermediate Good Fluent English Russian Please send your CV, copy of passport together with the application form to isw@kvinnatillkvinna.se Please indicate in subject line: Digital Security Application form. Closing date for submission of applications is 7.06.2015. Website: www.kvinnatillkvinna.se 2