APPLICATION FORM: CSO Forum in advance of the Midterm Review of 2013 Asia Pacific Ministerial Declaration on Population and Development
24-25 November 2018 in Bangkok, Thailand
SECTION ONE
Name of the Applicant (full name) *
Your answer
Email of Applicant *
Your answer
Job Title of Applicant *
Your answer
Organization Name *
Your answer
Organization Mission or Vision *
Your answer
Organizational Website *
Your answer
Does the Organization have ECOSOC status ? *
Passport Number of Applicant (for visa purposes)
Your answer
Nationality of Applicant (for visa purposes)
Your answer
Are you applying for a Scholarship to attend the Forum? *
Are you also applying to attend the Midterm Review of the Asia Pacific Declaration on Population and Development (26-28 November)? *
SECTION 2
Which constituency does your organization represent? (please pick no more than 2) *
Required
Geographical Coverage of the Organization *
If you are a national organization, please identify which country
If you are from a regional or sub-regional organization, please choose which region
If you answered "Other" on the questions above, please explain.
Your answer
Please BRIEFLY explain which of the following key issues that you have expertise on: SRHR, Gender Equality, HIV, Human Rights, Migration, Aging, Youth, Climate Change, Conflict, Disasters *
Your answer
Please specify which area of work you engage in: advocacy, service delivery, research or other; related to the above key issues (SRHR, Gender Equality, HIV, Human Rights, Migration, Aging, Youth, Climate Change, Conflict, Disasters ) *
Your answer
Do you have any experience working with Government(s) on the key issues (SRHR, Gender Equality, HIV, Human Rights, Migration, Aging, Youth, Climate Change, Conflict, Disasters )? If yes, please BRIEFLY explain.
Your answer
Please identify if your organization has any previous engagement in UN ESCAP processes - please list process and year (such as the 2013 Asia Pacific Population Conference, or the 2015 Asia Pacific Forum on Sustainable Development) *
Your answer
Please explain if you have previously participated in any ICPD processes at national, regional, and/or international level. *
Your answer
Do you expect to be included as a Member of a National Delegation? *
If you answered yes to the question above, please identify which delegation:
Your answer
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