CREA’s Sexuality, Gender and Rights Institute: Exploring Theory and Practice (India - English) 2018 APPLICATION FORM

CREA's Sexuality, Gender, and Rights Institute: Exploring Theory and Practice
(India – English)
8 – 12 January 2018
Khandala, India

CREA’s Sexuality, Gender and Rights Institute is an annual residential course that focuses on a conceptual study of sexuality. It examines the links between sexuality, rights, gender, and health and their interface with socio-cultural and legal issues. Individuals working on issues of sexuality, LGBT rights, sexual rights, sexual and reproductive health and rights, HIV/AIDS, violence against women, or gender, based in India or working on these issues related to India, are eligible to apply. A small number of spaces will be reserved for candidates of other South Asian countries.

Deadline to apply: 20 November, 2017 (on or before)

Application Form

Guidelines:

Use of the online application form is preferred. If you have difficulty with the online form you can complete this form (available by download from the CREA website www.creaworld.org) and email it to Sushma Luthra at sluthra@creaworld.org.
Attach a copy of your latest resume or CV. All questions must be answered — your resume or CV cannot substitute for an answer.
This online application form cannot be saved. It should be filled out and submitted at once. However there is no time limit to fill this online application form.

Full Name *

Name we should call you *

Personal Information (optional)

Gender

Age

Other Identity/s

Contact Information

Telephone *

Skype ID

Cell Number

Email ID *

Professional Information

Profession *

Current Position *

Organisation/Institution *

Address *

City *

State

Pin Code *

Country *

Telephone *

Fax

Email *

Website *

Education

Year *

Institution *

Degree *

Year

Institution

Degree

Year

Institution

Degree

Attach a copy of your latest resume or CV. All questions must be answered — your resume or CV cannot substitute for an answer. Only txt rtf pdf and doc extensions allowed. Max file size 800kb *

Explain why you want to take this course and how you expect it would contribute to your professional and personal development (200 words or less) *

Describe your professional interests and your work. Have you worked on issues of sexuality, gender, and/or rights? (200 words or less). *

How did you hear about the Sexuality, Gender and Rights Institute? *

References

Please give the names of two references who know you and your work well.

1.Name *

Organisation

Telephone *

Email *

2.Name *

Organisation

Telephone *

Email *

Venue & Dates

The Sexuality, Gender and Rights Institute will be held in Khandala, India, during January 8 – 12, 2018. Participants must commit to participating in the entire 5-day course (8 January, 9 am to 12 January, 5 pm), including attending all sessions and completing all assignments. Sessions run from 9 am to 6 pm every day; films are shown at night; reading is completed during reading periods and during extra time..

I confirm that I will participate in all aspects of the Institute *

Yes

Travel

Participants are responsible for incurring their travel costs to and from the Institute.

I confirm that I will be able to cover my travel costs to and from the Institute. *

Yes

Registration Costs

For International NGOs and Donor Agencies: INR 25,000. For all other participants: INR 5000 *

If selected, I can pay the registration cost of INR 25,000.

If selected, I can pay the registration cost of INR 5000

This cost will cover tuition, resource package, accommodation on a twin-sharing basis during 7 - 12 January 2018, and all meals. Please note this is a highly subsidised cost for participation.

Accomodation

Accommodation will be on twin-sharing basis.

Sharing *

I confirm that I will share a room with another participant.

I want to share a room with a person of the same gender.

If yes, my gender is

Other information about me relevant to rooming selections

Other Information

Please provide any other information that you consider relevant (not exceeding 50 words).

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