Youth Event at the 6th UNAOC Forum in Bali, Indonesia28 August 2014

Application form

DEADLINE TO APPLY: 30 June 2014

Type of application

The UNAOC Forum and Youth Event will welcome at total of 100 eligible youth. The breakdown of these 100 youth participants is as follows: 40 places for International participants and 60 places for Indonesian participants.

Are you applying as an “international” participant or as a participant from “Indonesia”?

Type of applicant: __________________________

Applicant identification

First name (given name) AS IT APPEARS IN PASSPORT

Middle name (if applicable) AS IT APPEARS IN PASSPORT

Last name (surname/family name) AS IT APPEARS IN PASSPORT

Complete name AS IT APPEARS IN PASSPORT

Gender

Date of birth WITH FORMAT DD/MM/YYYY

Current age

Country of birth

Current country of residence

Current nationality

Passport number

Country which issued applicant’s passport

Date of issuance of applicant’s passport (WITH FORMAT DD/MM/YYYY)

Expiry date of applicant’s passport (WITH FORMAT DD/MM/YYYY)

Current complete mailing address

Phone number (including country code)

E-mail address

Applicant background

What is your current main occupation? (e.g. student, intern, volunteer, professional, looking for employment, etc.) Please provide more details (e.g. sector of employment, level and discipline of studies, etc.)

Are you a member of the youth-lead organization?

Yes / No

If yes, what is the name of the organization you represent

If yes, what are the objectives or areas of work of your organization

If yes, what is your position within this organization?

If yes, what is the website of your organization

Do you have any experience in youth activities? If yes, please provide details about the activities and your responsibilities

Yes / No

Details:

Did you attend any of the following UNAOC Forums: Madrid 2008; Istanbul 2009; Rio de Janeiro 2010; Doha 2011; Vienna 2013?

Yes / No

If yes, which one?

Essay Questions

Q1: What is your current involvement (e.g. work, studies, volunteering, etc.) in the topics of the UNAOC Bali Forum? Response should include approximately 150 words.

Q2: How do you generally deal with cultural or religious differences? Please provide a concrete example. Response should include approximately 150 words.

Q3: Why do you want to take part in the 6th UNAOC Forum in Bali and its Youth Event? Response should include approximately 150 words.

Q4: Please share your thoughts on

the theme of the Forum, i.e. “Unity in Diversity: Celebrating Diversity for Common and Shared Values”. How are unity and diversity linked? How are diversity and shared values linked? Response should include approximately 250 words.

Q5: Please share your thoughts on the theme of the Youth event, i.e. “The role of youth in promoting “Unity in Diversity” through education, media and migration”.Response should include approximately 250 words

Q6: If you are selected to participate in the Youth Event and the Forum, what will be your strategy to use the skills, knowledge and connections you will have gained once you are back home? Response should include approximately 150 words.

Q7: Would you be able to raise awareness on the Youth Event and the Forum upon your return in your home country? On which networks can you count to multiply the impact of your participation in the Forum? Response should include approximately 150 words.

Other Questions

Do you need a visa to enter Indonesia?

Yes / No

Is your passport valid until February 2015? (If you need a visa to Indonesia, your passport needs to be valid for 6 months after your entry in Indonesia)

Yes / No

What is your level of spoken English?

Excellent / Good / Fair / Poor

Do you have any dietary restrictions? (All food offered for participants will be Kosher / Halal or Vegetarian)

Yes / No

If yes, please provide more details:

What is your health status? Please outline any prescription medications and/or medical conditions or allergies you might have that the organizers need to know about. If you do not have any, please write "none".This information will be kept confidential and will be only used in case of emergency.

Excellent / Good / Fair / Poor

Comments:

Please provide emergency contact name, number and email address

Name of emergency contact:Country of residence of emergency contact:Relationship to the applicant:Telephone number: Email:

Checklist

Did you complete every section of the Application form? Yes / No

Does your name in the application form match exactly your name in your passport? Yes / No

Did you respect work limit for the essay questions? Yes / No

Did you save your application form with the following format: FirstNameLastNameApplication.doc?Example: JohnSmithApplication.doc (Please keep application in Word format)

Yes / No

Did you include a copy of the identification page of passport? (In PDF format, preferably)

Yes / No

Did you save your passport with the following format: FirstNameLastNamePassport.pdf?Example: JohnSmithPassport.pdf

Yes / No

Did you attach your Resume, in English, 2 pages maximum? (In Word format, preferably)

Yes / No

Did you save your Resume with the following format: FirstNameLastNameResume.doc?Example: JohnSmithResume.doc

Yes / No

Attestation

I attest that the information provided above (and any associated information which I have provided in reference to this application), is true and complete.

I recognize and accept that providing false, misleading, or intentionally incomplete information will provoke immediate refusal of my application.

Yes / No

Date (DD/MM/YYYY)

Questions regarding the application form: Should you have questions regarding this application form, please contact the organizers of the Youth Event at bali@unaocyouth.org.

Checking your application package: In order to be considered valid and complete, your application package must include:1) The complete application form, saved in the following format:

FirstNameLastNameApplication.doc; 2) 1 copy of your international passport’s identification page, save in the following format:

FirstNameLastNamePassport.pdf3) Your Resume, in English, maximum 2 pages, saved in the following format:

FirstNameLastNameResume.doc

If your application package is not complete or not saved according to the proper format, it will not be reviewed.

Submitting your Application package: You need to send your Application package by email to bali@unaocyouth.org by 11:59 PM (New York time) on 30 June 2014 at the very latest. The title line of your email needs to be your first name

followed by your last name. Example: JohnSmith. Application packages received after this deadline will not be considered.

Feedback processAll applications will be reviewed by the organizers in July 2014. At the end of July 2014, only the selected participant will be contacted and informed about the next steps in logistical arrangements (check guidelines).

Applicants that are not selected will receive a generic message at the end of July 2014.