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HIV Justice Network Supervisory Board Application
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1.
Name
(Required.)
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2.
Email address
(Required.)
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3.
Home address
(Required.)
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4.
Work address
(Required.)
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5.
Who do you currently work for? (Include organisation and position, if employed; include main clients if self-employed)
(Required.)
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6.
Please indicate whether you fulfil at least one of the following criteria
(Required.)
Openly living with HIV
Identify as a member of a key population group, if so please specify which one(s) below
Key population group member (please specify)
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Previous experience (Please list up to the four most recent boards and/or committees that you serve on, or have served on.)
(Required.)
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8.
Your skills and experience (please tick at least 2)
(Required.)
Finance / accounting
Personnel / human resources
Administration / management
Dutch NGO law
Organisational development
Monitoring, evaluation and learning (MEL)
Communications / PR
Fundraising / grant writing
Other (please specify)
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9.
How do you feel HJN would benefit from your membership on the Supervisory Board? (Min. 100 words)
(Required.)
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10.
Please provide links to your personal and/or organisational websites and/or LinkedIn profile.
(Required.)
Personal website
Organisational website
LinkedIn profile
Other
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11.
Anything else you’d like to tell us?
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12.
Please provide the name, organisation (if applicable) and email address of two references. Please note that your references will only be contacted if you are shortlisted.
(Required.)
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Current Progress,
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