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Application form 15th National Selection Conference of EYP the Netherlands 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; 1 being the highest preference, 7 the lowest. VicePresident
Juror
Chairperson Editor
Editorial Assistant
VideoEditor
Journalist Organiser
3. Sesson history: Year and location
Type of session
Your role at the session
Name and function of your senior official
Please return to applications@eyp.nl by the 19th of November 23:59 CET, and 12th of November 23:59 CET for those applying as Editors.