Application for Open Internet for Democracy Leaders Program
Thank you for applying to the Open Internet for Democracy Leaders Program! If you have any questions regarding the program or the application form, please contact Morgan Frost (mfrost@cipe.org).
Background Information
First Name *
Last Name *
Permanent Mailing Address *
Current Country of Residence *
Phone Number *
Email Address *
Gender *
Organization (if applicable)
Twitter (if applicable)
Personal Website (if applicable)
Availability
Do you anticipate being available to travel to Berlin, Germany for the Internet Governance Forum in November 25-29, 2019? (note: preference will be given to applicants who are able to attend this event) *
Do you anticipate being able to travel to a conference in your home region (i.e. in your country or regionally) between June 2019 and January 2020?
Background and Interests
Why do you believe network sovereignty poses a threat to an open internet and democracy? (max 300 words) *
Describe your background working on open internet issues. (max 300 words) *
What do you consider to be the most pressing challenges to the open internet space in your local, national, or regional community? (max 300 words) *
Which of the following thematic areas align most closely to your interests? *
Goals
In which country will you implement your proposed project? *
Describe a potential project that you would want to implement during the Leadership Program that addresses the theme of network sovereignty (max 500 words). Make sure to address: Why do you think your proposed project will be effective in advancing advocacy around this issue? How would you engage with others to expand your community of support for an open internet? *
Attachments
Please label your attachments in the following way: LASTNAME_FIRSTNAME_OILS2019_Resume and LASTNAME_FIRSTNAME_OILS2019_WritingSample
Please upload your CV/Resume detailing your professional and educational background. *
Required
Writing sample of at least 400 words related to an open internet: a blog post, published article, or professional writing sample (optional, but highly encouraged). *
Required
If your writing sample is a link, please paste it below.
By checking this box, I consent to Open Internet for Democracy Initiative (NDI, CIMA, and CIPE) to collect my personal information and to contact me regarding this program. *
Required
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