2018 Activist Academy in Romania - Participant Application Form

We are excited that you are interested in being a part of IGLYO's Activist Academy 2018! Before you do, though, please check the Activist Academy website for details of content, learning outcomes, and practicalities.

Due to high demand, applications will only be accepted from participants who are already part of one of IGLYO's Member Organisations.

Please answer the questions in this survey with as much information as necessary and we will let you know the result of your application soon.

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* 1. Personal Details

First Name (Passport/ID)

Last Name (Passport/ID)

Preferred Name (if different)

Date of birth (dd/mm/yyyy)

Age

Gender

Country of Residence

IGLYO Member Organisation represented

Mobile Number (include +country code and no spaces between digits)

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* 2. IGLYO Member Organisation

I'm part of a Member Organisation, but have applied independently

I'm part of a Member Organisation and have discussed my application with them

My Member Organisation approached me an encouraged me to apply

Please tell us more

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* 3. Do you require a visa to travel to Romania? If you do, please answer Q4. If you do not, you can go to Q5)

Yes

No/I already have a valid visa

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* 4. If you require a visa, please fill in the following information and we will send you a letter of invitation (please understand that you are solely responsible for securing the visa on time):

Nationality

Date of birth

Gender (as it is in the passport)

Passport Number

Date of issue (DD/MM/YYYY)

Place of issue

Expiry date (DD/MM/YYYY)

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* 5. Through which source have you learned about this event?

Activist Academy website

IGLYO website

IGLYO Facebook

A friend

My member organisation

Other (please specify)

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* 6. How well can you understand and speak English?

Fluent

Advanced

Average

Basic

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* 7. Please describe those parts of your volunteer/activist experience that show your potential to grow as a leader or role-model in your organisation. Try to be specific and practical. Bullet points or a list can be used.

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* 8. Please describe shortly the process that you and your organisation's leadership/management have gone through to discuss your participation to the Activist Academy. Write Not Applicable (N/a) if you have not gone through such process.

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* 9. Why do you want to participate in this event and what do you expect to learn/achieve by taking part?

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* 10. Please describe how you will use in your work the skills that you will learn during the event. Please be specific about the areas of your work where you will use these skills. Try to describe actual areas of future work/initiatives/projects/plans where you can use the experience from the Academy. For example: I am thinking to start a peer support group for trans young people in my town. Learning about community organising will be useful for this.

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* 11. Please share with us ideas or suggestions you might have for this event. This will NOT be considered in the selection of participants. We appreciate any input!

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* 12. How many IGLYO events have you applied for before this one?

None

One or more

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* 13. How many IGLYO events have you participated in for before this one?

None

Between 2 and 4

More than 4

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* 14. Please read here IGLYO's groundrules for educational activities and then tick if you agree to commit to respecting them.

I have read the ground rules and I commit to respecting them the best I can

I will not commit to respecting this rules and I understand that this forfeits my invitation to the event.