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Active Citizenship Award Nomination
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The Felicitation Process

Application: Complete and submit the application form by November 12th 2010

  1. The applicants must be between 10-27 years
  2. Interview: Selected applicants will be contacted for a phone interview
  1. Applicants may be invited for a face-to-face interview
  2. The finalists will be selected after the interview round
  1. Public recognition: The teams will be recognized at a public event.

Please attach extra sheets if you require additional writing space

Contact: Pravah, C-96, Jagraj Marg, Bapu Nagar, Ph:4030356 email: jaipur@pravah.org.

Part I: Personal Information

  1. Name:

  1. Date of Birth:

  1. Address:

  1. Phone number(s):  

  1. Email:

  1. Personal Statement: (a) Please tell us a little bit about yourself. (b) What are the kinds of things, people, experiences that have influenced you, be they educational, extracurricular, the social sector or volunteer work.( Word Limit 300-500 Words)

  1. Education: In the table below, please write the name and class of the institution that you are studying in:

Institution

Class

Address

  1. Extra-curricular Activities: In the space below, please list any extra-curricular activities you have undertaken. Also mention any skills you may have (languages, computers, music, dance, etc). (Word limit: 125 Words)

  1. References: Please attach a reference letter from a person who knows your work. The person also has to provide the following information.

Name & Position

Relationship

Phone Number

Email (if possible)

Part II: Venture/Project Description

Please attach any sheets you require to fill up this section in as much detail as possible. (Maximum Word Limit 400 words for each question)

  1. Explain the need or problem you addressed what inspired you to tackle it.

  1. Does this issue impact the broader society? If yes, in what way?

  1. Explain your work undertaken by you.

  1. What were the difficulties that you faced during the project? How did you tackle them?

  1. If you are working in a team, how did this team come together and what are the contributions/inputs of each member in the team? If you are an individual, explain how you are working with others to accomplish your goals.

  1. How was this experience worthwhile for you?

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