Afrika Gender TV - Country Correspondent Application Form

Formulaire
Personal Information
Full Name

First NameMiddle NameLast Name
Gender
Date of Birth

MonthDayYear
Date
Nationality
Country of Residence
City / Region
Email Address
example@example.com
WhatsApp Number
Please enter a valid phone number.Format: (000) 000-0000.
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Upload your National ID or Passport

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Professional Background
Current Occupation/Status
Highest Level of Education
Languages Spoken

Other
Specify local languages spoken
Do you have experience in journalism, media, communication, or storytelling?
Describe your experience in journalism or media
Do you have experience producing video content?
Specify your video experience

Other
Describe your video production experience
Motivation & Commitment
Why do you want to become a Country Correspondent for Afrika Gender TV?
What is your commitment to gender equality and women’s rights?
How would you represent Afrika Gender TV in your country?
Are you able to produce at least one video report per month?
Are you able to develop partnerships with institutions, NGOs, media, and networks?
Samples of Work & Documents
Link to your first audiovisual work
Link to your second audiovisual work
Link to your third audiovisual work
Upload your CV

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Upload your Motivation Letter

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Upload any additional documents

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Availability & Resources
Are you available to start immediately if selected?
If no, please specify your availability date
Do you have access to a smartphone or camera for filming?
Do you have access to internet for uploading content?
Declaration & Consent
Declaration of authenticity
Consent to communication
I understand that this is an Associate Role (non-employee)
Signature
Date

MonthDayYear
Date
Should be Empty:

Formulaire

Personal Information

Professional Background

Motivation & Commitment

Samples of Work & Documents

Availability & Resources

Declaration & Consent