Apply to become an Agents of Change delegate - COP11 Application

Thank you very much for your interest in joining the SustainUS delegation to COP11! The conference will take place in from Hyderabad, Andhra Pradesh, India from October 8-19, 2012. Please read over the accompanying materials about our delegation at Please submit the application and the letter of reference by 5:00 pm EST on Sunday July 1, 2012. All applicants will be notified of the application results by the end of July, and the selected delegates will be required to confirm their participation shortly thereafter. If you have any questions, please contact the AoC Coordinators at
* Required

Part I: Basic Information

All responses will be kept confidential.

Part II: Personal Statement

Please respond to the questions below in a personal statement that details your interest in COP11 and your prior experiences that make you a good candidate for this program. Please limit your response to 500 words. It may help to review the selection criteria and the following websites. Relevant Websites • SustainUS: • SustainUSʼs Policy Platform: • CBD COP11:

Part III: Policy Question

In 200 words or less, please outline a policy recommendation you would like to propose at COP11 on one of the following cross-cutting issues identified as of primary importance by the CBD (for more information, see Aichi Biodiversity Targets Access to Genetic Resources and Benefit-sharing Biodiversity for Development Climate Change and Biodiversity Communication, Education and Public Awareness Economics, Trade and Incentive Measures Ecosystem Approach Gender and Biodiversity Global Strategy for Plant Conservation Global Taxonomy Initiative Impact Assessment Identification, Monitoring, Indicators and Assessments Invasive Alien Species Liability and Redress - Art. 14(2) Protected Areas Sustainable Use of Biodiversity Tourism and Biodiversity Traditional Knowledge, Innovations and Practices - Article 8(j) Technology Transfer and Cooperation

Part IV: Specific Skills

In putting together a delegation, we look for a diversity of needed skills and delegates with particular strengths. It is also important for delegates to be flexible and willing to expand beyond their comfort zones by taking part in a variety of areas, including policy, communications work, and actions. Specifically, we aim to form a team with the skills listed below. Please highlight your experience in any of the following: • Blogging/online communications • Press releases and media relations • Videography • Grassroots activism • Campaigning • Public speaking or talking to the media • Crafting effective messages/framing • Coordination of non-violent direct actions • Artistic vision and creativity • Policy, scientific, and/or technical writing • Lobbying government officials • Working with youth from other countries

Part V: Availability

Delegates are strongly encouraged to attend the entire conference (October 8-19, 2012) and the SustainUS delegation training in August. We recognize that flexibility of school and work schedules can be difficult to anticipate, but we are looking for delegates who will make every effort to be available for the length of the conference. Please explain in a short paragraph your availability to attend the entire conference and the SustainUS delegation training.

Part VI: Background

Please include a one-page résumé in the box below. You may also email your resume to

Part VII: Past Experience with SustainUS

For past participants in Agents of Change delegations or other SustainUS activities only. If you have not previously worked with SustainUS, you do not need to fill out this section. We aim to compose a delegation with a broad range of experiences.

Part VIII: Reference

Please send a letter of reference to The letter may be sent by you or the referrer, provided that it is clearly labeled with your name in the subject line and the document title. Letters of reference may be from a mentor, professor, supervisor, or another person who can speak to your preparation to represent US youth at the international conference and your ability to contribute to the SustainUS delegation.

Part IX: Demographic Information

The information in this section is used internally to assess our outreach efforts and our ability to reach a diverse audience. All responses will be kept confidential, and the information will not be used in the selection process.

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