Application Form - Development Education Programme

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Application Form
World Conference on Youth
6 - 10 May, 2014
PLEASE RETURN SIGNED AND STAMPED to the Development Education Officer NYCI:
deved@nyci.ie
Deadline BEFORE Monday 17 February 2014, 15:00
Subject: World Conference on Youth 2014
Type or CAPITAL LETTERS please!!!!
1) Application category (See Annex A – Page 2 for more information)
a) For this application, have you been nominated by a national youth organisation or a
local youth-led club?
Yes
No
If yes, name of the organisation/club _________________________________
b) Do you belong to a group of marginalised young people?
Yes
No
i.) Explain why and how you belong to a marginalised group (see Annex A on page 2 for
examples).
NYCI Application Form for World Conference on Youth 2014
Page 1
c) Do you belong to a special interest group?
Yes
No
i.) Explain why and how you belong to a special interest group (see Annex A below for
examples).
d) None of the above
Annex A:
MARGINALISED GROUPS: Young people with disabilities; Indigenous; Rural
community/young farmers; Key affected populations; Young people from conflict
affected areas; Marginalised ethnic and cultural groups; Young people with low social
and economic backgrounds; Migrants and refugees
INTEREST GROUPS: Young entrepreneurs; Young people involved in feminist and
gender movements; Young academics; Young people active in faith/political based
organizations; Young sports people; Young trade unionists; Young community
activists/workers; Young people engaged in current development processes (e. g post2015, ICPD, Rio, COP, etc.).
This is not an exhaustive list. If you feel you represent a marginalised or special interest
group not mentioned here, feel free to mention it when you explain that you should take
part.
NYCI Application Form for World Conference on Youth 2014
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2) Which organisation/ community do you represent?
a) Name
b) Contact details of the organisation/ community (phone, website, email, postal address)
c) Contact person (Name, email, phone)
d) Main aim and activities of the organisation/ community
e) How and for how long are you involved in the organisation or community? What is
your role in the organisation or community?
3) What can your organisation or community bring to the WCY and why should they be
represented? (Please elaborate in not more than 200 words)
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4) What is your and your organisation’s experience and knowledge on promoting
development education and global justice youth participation and on the post-2015
development agenda involving young people? (200 words)
5) Please describe some of the projects you or your organisation has worked on in
relation with the World Conference on Youth’s topics.
6) Why do you think you can best represent your organisation/ movement/ community?
Please elaborate in not more than 300 words.
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7) How will you be able to prepare for and follow-up on the conference together with
your constituency? Please elaborate in not more than 300 words.
8) What is your personal motivation to participate in the conference? Please elaborate in
not more than 300 words.
9) Why do you think it is important for young people to be involved in the post-2015
development agenda? Please elaborate in not more than 300 words.
10) Which issues are the most pressing for young people in your country or region today?
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12) Personal data:
Name
Date of birth
c) Current citizenship
Current country of residence
Country of origin for travel
Postal address
E-mail address
Phone number
Languages
Special needs
Type of passport (normal passport, UN travel document, diplomatic official)
Passport number
Date of expiry
Place of issue
Emergency contact - Please provide the name and phone number of your emergency
contact person.
NYCI Application Form for World Conference on Youth 2014
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