Application Form 14th NSC

Page 1

Application form National Selection Conference of EYP the Netherlands 2014 1. Personal details and contact information: Name Date of birth Gender

Male

Female

Nationality Email address Phone number

2. Applying for: Please tick the box for the role(s) you are applying for. You can also indicate your preference by using numbers. Chairperson

Vicepresident

Juror

Editor

Videoeditor

Journalist

Organiser

2. Session History: Year and location

Type of Session

Your role at the Session

Name and function of your senior official

If you wish, you may also provide us with a link to your up to date profile on the Alumni Platform. Please also provide us with two EYP references, EYP alumni that can support your application and that we can ask about you during the selection process. Reference 1: Reference 2: Please return to applications@eyp.nl by the 20th of November 23:59 CET, editors 12th of November 23:59 CET.


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