My MEP – My Voice

Application Form

Personal Details & Contact Information
Name
Date of Birth (dd/mm/yy)
Email Address
Contact Number
Home Address
Current Address
If different to the above.
Education, Relevant Experience & Interests
Please outline your education to date, giving details of any school, national or other qualifications you may have.
Have you any experience in campaigns or working for a cause?
This can include involvement in student or party politics, campaigning on particular issues or just engaging with election candidates.
Please outline your interests, and any extracurricular activities and voluntary work you have been involved in to date?
Do you have any interest or experience in film making?
Are you a member of any clubs or societies?
This can include youth clubs, sports clubs, college societies, political parties etc
How did you hear about this project?
This Programme requires participants to attend one film making workshop in either Belfast, Cork, Dublin or Galway (in March) and at least two other all-day workshops and a screening in either Belfast, Cork, Dublin or Galway (in May).
Can you commit to being available for these activities? / □ Yes □ No
The ultimate aim of this project is to make a top class video that will be used as a tool to lobby candidates in the European Elections, in 300 words or less, please tell us why you would like to participate in My MEP – My Voice and how you think we can make our video go viral?
I certify that my answers are true and complete to the best of my knowledge. If this application is successful, I understand that false or misleading information in my application or interview may result in my release from this Programme.

Please send completed application forms to or by post to My MEP – My Voice, European Movement Ireland, 8 Lower Fitzwilliam Street, Dublin 2.

This project has been funded with support from the European Commission. This communication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein.