Application Form

Caribbean Training

Organized by the Youth Coalition

 

Please ensure that all questions are completed.  The form can be completed through Microsoft word, please limit all answers to a maximum of five lines.

 

1.      Personal Information

First name(s)       Last name(s)      

Affiliated Organization      

Nationality                  

Country of Residence      

Date of birth                 Sex      

Mailing Address         Telephone        Fax      

E-mail      

 

1. Please check the following boxes below as it pertains to you.

 

 

Do you have regular access to emails? (Please select the option that best describes your Internet access):

All the time/once a day   Occasionally          Rarely       Never

 

 

Do you need a visa to travel to Port of Spain, Trinidad and Tobago where the training will be held?        Yes             No

 

 

Proficiency in English (Chose only one)

Fluent

·         English is my first language

 

Excellent

·         I can hold a complex conversation and read advanced text

 

Good

·         I can hold a conversation

 

Basic

·         I can understand some English

·         I can hold a simple conversation and read simple text

 

 

2. What do sexual and reproductive rights mean to you?      

3.   What does youth participation mean to you?  (Include in your response how much youth participation you see in decision-making at government and civil society levels in your country.  Also tell us how you would like to see youth participation in your community or in your country as a whole).       

 

4.   Please tell us what the word activist means to you.  Do you consider yourself an activist?      

5.   Please describe in what ways your work/volunteer experience relates to Sexual and Reproductive Health and Rights and/or Youth Participation.  Also mention if your work/volunteer experience is local, regional, national or international in scope.      

6.   What issues do you believe are the most pressing issues in your region with respect development and young people’s sexual and reproductive health and rights?      

7.    Do you agree that women should have the right to choose and access abortion services regardless of her age, ethnicity, culture, religion and reason?      

8.   What is your view on homo- and bisexuality and transgenderism or same sex relationships?      

9.   What are your expectations and what do you hope to gain from participating in the Caribbean Training?      

10. How will you share and spread the skills you learn and the information you acquire at the Caribbean Training in your organization/community/region?      

11. Do you have any experience working with international UN documents (ie. Millennium Development Goals, ICPD Programme of Action, Beijing Platform of Action)?  If yes, which ones?      

12.  Have you participated in a Youth Coalition activity before?  Yes      No

      If yes, which activity?      

 

Signature:        Date: