Bio data

You are invited to fill out, in full, this application form. It will take between 10 and 20 minutes for you to complete.

Provide ALL information. The more detailed your application is, the higher your chances of selection for this workshop.

Incomplete forms with unanswered or partially answered questions will not be considered at all.

Thank you.

* 1. First name

* 2. Last name

* 3. Gender

* 4. What is your age?

* 5. Primary email address

* 6. Primary phone number

* 7. Alternative phone number

* 8. Name, address and phone number of the newspaper, radio, TV station or online news platform for which primarily work.

* 9. What is your current position at the media house named above?

* 10. How long have you been in your current position?

* 11. What is the name of the town or city in which you work?

* 12. Name and position of your editor, manager or editorial supervisor

* 13. Phone number and email of your editor, manager or editorial supervisor