2017Capacity Building Program on Human Rights Advocacy And

2017Capacity Building Program on Human Rights Advocacy and

Migrant Workers in the Middle East and Asia

21 – 25 May, 2017

Diplomacy Training Program (DTP) in partnership with Migrant Forum in Asia (MFA) and Georgetown UniversityQatar

Application Form

Candidates should fill out this form and email it to and

Please include letters of recommendationfrom two referees. Letters should be a maximum of one page in length.

Applicants will be notified of the outcome of their application soon after the closing date.

Please do not include any information that you think might affect your personal security

YOUR DETAILS
First Name (s): / Family Name:
Preferred name/known as: / Country:
Gender: / Year of Birth:
Name of your organisation: / Position in the organisation:
Email Address 1:
Email Address 2:
Phone Number at work (including country code):
Mobile Number (including country code):
Postal Address:
City: / State:
Country: / Post Code:
Organisation’s website:
YOUR WORK AND EXPERIENCE
Present Occupation:
(Please provide a basic description of what you do)
Write a short summary of your role and other practical experience you have had relevant to this course:
(PLEASE LIMIT YOUR ANSWER TO 3 PARAGRAPHS. We are specifically interested in the work you do as an individual for your cause or organisation. We would like to know the activities you do on a day-to-day basis. What are your job responsibilities (programs, sectors/issues, approaches, level – eg: national, community)?
What do you see as the biggest challenges in protecting and promoting the human rights of migrant workers?
What opportunities do you see for promoting and protecting the human rights ofmigrant workers?
Please briefly describe a project, campaign or issue on which you are working or have worked-on that you think is relevant to this program and that you will be willing to share information about with other participants during the program.
Outline the reasons why you would like to participate in a DTP course on human rights and advocacy for migrant workers. Please explain how this course relates specifically to your work or situation.
On a scale of 1 to 5, with 1 being the least confident and 5 being the most confident, how confident do you feel about your skills related to (please circle one):
a)Lobbying: 1 2 3 4 5
b)Media: 1 2 3 4 5
c)Reading and understanding 1 2 3 4 5
human rights documents:
d)Building alliances: 1 2 3 4 5
EDUCATION
What level of education have you completed? Please mark ‘X’ in the appropriate square. / Primary / Secondary / Tertiary
Other training, including previous human rights training: (Please give details)
REFEREES
Name 2 referees with email, telephone and fax.
(Please nominate 2 people who know your NGO and/or your human rights work. It is preferred if at least one referee occupies a senior/supervisory position in your organisation. Applications without a referee’s name and contact details will not be accepted.)
Please include letters of recommendation from both referees. Letters should be a maximum of one page in length.
Referee 1
Name:
Organisation:
Email:
Fax(including country / district area codes):
Phone (including country /district area codes): / Referee 2
Name:
Organisation:
Email:
Fax(including country / district area codes):
Phone (including country / district area codes):
LANGUAGE
If you are accepted, you will be required to participate in discussions and role plays in English.
Are you fluent in English? YES ( ) or NO ( )
If you are not fluent in English,
What is your preferred language of instruction? English ( ) or Arabic ( )
CONSENT
Do you give us consent to use the information provided in this form to write a short biographical paragraph about you that will be given to trainers, participants and others for the purposes of informing them, seeking funding on your behalf, advertising this training and in future DTP publicity material?
YES NO
Do you have concerns about your personal security that we should consider before using the information you have provided here?
YES NO
VISA REQUIREMENT
If you are accepted, will you require a visa to travel to Doha, Qatar?
YES NO
If yes, please attach a colour scanned copy of your passport, and a recent colour passport sized photograph with this application, along with the following information completed:
Name as written in passport: Nationality:
Date of Birth: Place of Birth: Passport Number:
Date of Issue: Place of Issue: Date of Expiry:
OTHER
How did you hear about this training? (please tick one or more of the following boxes?)
□ DTP E-News/Email
□ MFA
□ APF
□ DTP Alumni
□ Other (please specify):

Date completed:______

DIPLOMACY TRAINING PROGRAM LTD

The University of New South Wales

UNSW SYDNEY NSW 2052

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Tel: +61 (2) 9385 2277 Fax: +61 (2) 9385 1778

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