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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)
- Complete
application form [ ]
- Essay [ ]
- Current CV
[ ]
- 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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