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Training opportunity for women radio journalists in southern Africa
Africa Women's Media Center
April 26, 2002

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APPLICATION (TYPE OR PRINT CLEARLY)

African Women’s Media Center (AWMC)
Training program on Reporting on HIV/AIDS
for women radio journalists from Southern Africa Program

Dates: June 18, 2002- June 29, 2002
Application Deadline: Friday, May 24, 2002

To apply to be a delegate for this program, please complete the following form and return it to the AWMC via fax: 27-11-327-0242, or email Gifti Nadi: gnadi@iwmf.org. You may also apply on the AWMC website at www.awmc.com. The application deadline is Friday, May 24, 2002.

APPLICATION REQUIREMENTS (Your application must include the following)

  1. Complete application form [ ]
  2. Essay [ ]
  3. Current CV [ ]
  4. A letter of permission and recommendation from your station manager attesting to your qualifications and how you will benefit from participating in this program Permission to apply for the program MUST be granted by your station manager. [ ]


PERSONAL INFORMATION


Family name/Last/Surname:________________________     First Name:________________________

Country of citizenship: _________________                         Date of Birth:_______________________

How did you find out about this program? ____________________________________


WORK INFORMATION


Name of radio station:____________ Your position/Title: ___________________________

Number of years with station:_________________ Number of employees_______________

How long have you worked as a journalist:________________________________________

Is your station currently on air?_________________________________________________

How many times per day/week do you broadcast?___________________________________

What types of programs do you produce?__________________________________________

How much airtime is allocated to women’s issues?__________________________________

How much airtime is allocated to HIV/AIDS issues?_________________________________

Ownership: ___     State ____     Private ____   Community ______   Other: Specify___________

Audience: _____________________________      Approximate audience size:__________________________

Describe your radio station in detail. Does it have a political affiliation? _____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Describe your current job and responsibilities ________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________    


HIV/AIDS REPORTING EXPERIENCE


Do you currently report on HIV/AIDS? ____Yes _____No

If yes, approximately how many times have you covered HIV/AIDS during the course of the last three months

_____________________________________________________________

What type(s) of program format(s) did you use?_________________________________


TRAINING


What type of training programs have you participated in? when and where?
____radio training_______________________________________________________________

____basic production techniques ___________________________________________________

____news reporting, features, drama etc______________________________________________

____programs on how to report on special issues_______________________________________

If so, please specify issue (HIV/AIDS, business, health, etc)

______________________________________________________________________________


EDUCATION


Institution: _____________________________________________________________________

Degree (if any) _____________________________________________________________   Date: _____________

Certificate (if any)___________________________________________________________   Date: _____________


Institution:_________________________________________________________________

Degree (if any) _____________________________________________________________   Date: _____________

Certificate (if any)___________________________________________________________   Date: _____________


WORK ADDRESS:

Street:________________________

City, Country__________________________

Telephone:____________________________     Fax:_________________________________

Email: ___________________________________________    Mobile: ______________________


HOME ADDRESS:

Street: ______________________

City, Country________________________

Telephone:____________________________     Fax:_________________________________

Email: ___________________________________________    Mobile: ______________________

(The AWMC must be able to contact you directly at one of the addresses/phone numbers listed)              


COMPUTER EXPERIENCE

Do you work on a computer? ________     If yes, at HOME or WORK? (Circle One)

Do you have access to the Internet through your job? _______    At home? Yes ____ No___

If no, where do you go to access the computer? ___________________________________

Do you use the Internet to conduct research for stories? _____________________________


PROFESSIONAL ASSOCATIONS

Do you belong to any women’s media organizations? Yes ___ No ___    

If yes, please name ___________________________________________

Do you belong to any other media organizations? Yes __ No___

If yes, please name ____________________________________________


ESSAY: (Please Type on a separate sheet)

Write a 300 word essay addressing all of the following topics:

  • Why you believe women radio journalists should receive training in HIV/AIDS reporting
  • Your level of knowledge of HIV/AIDS and topics you would like to see addressed in this program
  • What your vision is for your career in the media
  • How you believe that participating in this program will help you achieve your goals                                          

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