WITHOUT BORDERS MEDIA FELLOWSHIP

STORY PROPOSAL
Title of your proposal (30 words)*
Short Description Of the Story
Where will the reporting take place?(30 words)*
Story Pitch(500-750 words) Note: Description of the story you seek to pursue during your Fellowship. The pitch must cover the four W's - what, why, where, who. Pre-reporting by the applicant will be of advantage to the application. *

0/750
MEDIUM OF PUBLICATION*
Letter of commitment or interest from organisations that would publish your story.*

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Field Visit Plan (200-300words) Applicants must share :- 1.Preferred start and end dates of the fellowship 2.Field visit dates 3.Itinerary 4.Background/context of the location 5.Risks involved (legal and physical) *

0/300

STAKEHOLDERS
Name up to 10 stakeholders (institutions, organisations, collectives, individuals) that you will contact for information or insight during the reporting process for the Fellowship. *
Dissemination Plan (200-300 words) How do you plan to engage these stakeholders to disseminate the story or advocate for the cause once the story is published? (Examples- Hosting a Facebook live with person X from organisation Y whose expert comment is a part of your story, ensuring cross-posting and promotional social media posts by organisation Y whose comment is part of your story.) *

0/300
Provide links to 3 significant stories about this topic that have been published recently? Explain how your story will cover a new aspect/angle of the issue or cause? (100-300 words)*

0/300
Explain why you are motivated to apply for this Fellowship. Provide links to 3 of your most relevant stories about this topic that have been published in the last one year?(100-300 words)*

0/300

Are there any collaborators in this reporting assignment such as data scientists, photographers, stringers?(50-150 words)*

0/150
Tentative Date of publication of the story *
Signature*
Date of Submission
*

I hereby declare that the personal information provided by me is true to the best of my knowledge and give my informed consent that my data be used in a manner conducive with administering and facilitating this fellowship and can be stored in the MSF database. I understand that my participation is voluntary and hereby declare that if selected as a Fellow, I will be working independently & not identifying myself as an MSF employee or staff throughout the duration of the Fellowship.
How did you get to know about this Fellowship?*
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