Appendix 1
Application Form: Global South youth participants at COP18 and COY8 in Doha, Qatar, 23 November - 9 December 2012
A. Personal information
Name:
Surname:
Nationality (Citizenship):
Age:
Gender:
Passport number and expiry date:
Complete postal address:
Telephone number (including country and city code):
E-mail address:
Working languages (Please specify all languages you are able to work):
Name of your organization:
Website (if applicable) and email of the organization:
Contact and name of the person in the organization who signed the letter:
In case of emergency name and contact details of a relative:
B. Your views and perspectives on youth and climate change issues
1. Do you have any experience on international climate change negotiations and the UNFCCC process? Please describe. (100 words max.)
2. Why is it important for Global South youth to participate in climate change international negotiations? (100 words max.)
3. Please describe the scope of work of your organization and your personal contribution. (100 words max.)
C. Your motivations and expectations of the COP18 and youth involvement
4. Why do you want to attend the COP18 and how this will contribute to your work and your organization? (100 words max.)
5. In what ways will you contribute to the Youth Constituency work at the COP18? (100 words max.)
6. Do you already possess an accreditation to COP18 covering the two weeks? If yes please give details. If not are you able to secure an accreditation through your government delegation, an observer admitted organization at the UNFCCC or any UN agency for the two weeks?
D. Additional information
7. Have ever received funding from YOUNGO in the past to participate in a COP? If yes please precise the year and the source of the funding.
8. Do you have any special requirement and/or comments we need to know (allergies, health problems, disabilities, non availability for the two weeks, etc.)?
9. Do you have a High Commission for Qatar in your city or country that you can easily reach top apply for a visa?
10. Do you need a visa to enter Qatar? If yes and if you are selected, will you require assistance in obtaining a visa?
E. Letter of Support
11. Please include a letter of support from the environmental and/or climate-focused organization or group that you work with
I certify that all information provided in this application are true and accurate. I confirm that I am not a relative or employee of IndyAct nor a relative of a former or current YOUNGO Focal Point of the Youth Constituency at the UNFCCC.
Name: …............................................. Date: …………..........……
Place: ….............................
Please do not forget to send your applications by e-mail as a word.doc or pdf.doc to the Selection Committee at youngocop18@gmail.com. with subject ‘’Application for Global South Youth Grants at COP18 + Name of your Country’’ by the 10 November 2012 at midnight GMT. Remember to include a supporting letter from your organization, an electronic copy of your valid passport as well as the commitment form filled and signed in by you. The commitment form is attached to this call as Appendix 2.