Application form Preliminary Rounds of EYP the Netherlands 2013/2014 1. Personal details and contact information: Name Date of birth Gender
Male
Female
Email address Phone number
2. Applying for: Please tick the box for the session you are applying for and in which role. Location/role Amsterdam (30 November – 2 December) Zeist (13 – 15 December) Breda (10 – 12 January)
Chairperson
Journalist
Juror
Organiser
Juror
2. Session History: Year and location
Type of Session
Your role at the Session
Name and function of your senior official
3. Motivation (please fill in regardless of the role you are applying for): What is your motivation to attend the Preliminary Rounds? (max. 300 words)
Please return to applications@eyp.nl by the 14th of October 23:59 CET