ASEAN Human Rights Advocacy Academy Application Form

1
What is your preferred name?* This field is required.
2
When is your birthday? * This field is required.
Date
Year
Month
Day
3
What is your gender?* This field is required.
Cis-gender female
Cis-gender male
Transgender
Non-binary
Others
Prefer not to disclose
4
What is your nationality?* This field is required.
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua & Deps
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Rep
Chad
Chile
China
Colombia
Comoros
Congo
Congo {Democratic Rep}
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland {Republic}
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Korea South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar, {Burma}
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russian Federation
Rwanda
St Kitts & Nevis
St Lucia
Saint Vincent & the Grenadines
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
5
Where are you currently residing at?* This field is required.
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua & Deps
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Rep
Chad
Chile
China
Colombia
Comoros
Congo
Congo {Democratic Rep}
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland {Republic}
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Korea South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar, {Burma}
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russian Federation
Rwanda
St Kitts & Nevis
St Lucia
Saint Vincent & the Grenadines
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
6
What is your current organizational or institutional affiliation?If you are from FORUM-ASIA, please indicate your Programme.
7
What is your current position or occupation?If you are self-employed or a freelancer, please indicate it below.
8
Email* This field is required.
example@example.com
9
Phone Number* This field is required.Make sure that you include the country code. If selected, you will communicate with the organisers and fellow participants via WhatsApp and/or Signal.
Area Code
Phone Number
10
What are your motivation and expectations in joining the ASEAN Human Rights Advocacy Academy?* This field is required.Your answer should not be more than 200 words.
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11
Tell us more about your engagement with ASEAN and its human rights advocacy. What were the objectives, challenges, and the result of your engagement?* This field is required.Your answer should not be more than 200 words
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12
What are the human rights trends and challenges that are happening in Southeast Asia, giving specific attention to the situation of COVID-19 pandemic? * This field is required.Your answer should not be more than 200 words.
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13
How has ASEAN dealt with its human rights issues so far? What they could have done better in your opinion?* This field is required.Your answer should not be more than 200 words.
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14
How will you utilise the knowledge and network from the Academy in your professional and personal goals? * This field is required.
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15
Employer or Supervisor's Consent* This field is required. We expect the participants to be able to commit 10 to 16 hours in the entire 5 weeks of the Academy. Will you be able to commit with the time and coordinate with your employer about this? (if yes, we assume that consent from the employer has been given for the participant to join the Academy).
YESNO
16
Kindly upload your updated resume or CVYour resume or CV should not be longer than 3 pages.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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17
Name of Referee
18
What is your referee's position and organisational affiliation?* This field is required.
19
Relationship of referee to the applicantThis is an optional question..
20
Referee's Email
example@example.com
21
Consent Form* This field is required.The applicant hereby gives their consent for their personal data to be processed by the organizer of the Academy. The applicant understands that all of the information received from the survey will be used solely for internal and evaluation purposes of the Academy. All data will be retained in the Application Portal for a maximum of 3 months starting from the deadline of submission.
YESNO
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