APJI 2023 Application Form

Application for 2023 APJI Program

Manila, Philippines - November 2023
DEADLINE TO APPLY: SEPT 1st
Personal Information
Full Name*

First (Given) NameMiddle NameLast (Family) Name
Birth Date*

MonthDayYear
Citizenship:
Personal E-mail*
Alternative E-mail (optional)
Mobile Number*

Country CodeArea CodePhone Number
Current Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Submit a 100-word bio (for marketing materials)*
Media Experience
Current Place of Employment
If you are a freelancer, please write "freelance"
Website for Place of Employment
Your Position or Title
If you are a freelancer, please write "freelance"
Years in this Position
Years of Professional Journalism experience*
Your Business E-mail
Business Address of Employer

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
List any awards or recognitions you've earned (optional)
References
Reference #1:

First NameLast Name
Email
example@example.com
Reference #2:

First NameLast Name
Email
example@example.com
Required Materials
Please write a 200-300 word essay on why you should be chosen to be part of the APJI Fellowship Program:
Please upload or provide links for two samples of your work:

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Please upload a digital photo ID

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Should be Empty:

Application for 2023 APJI Program