CCYDN – Executive Committee Application Form

    1. First Name:*

    2. Last Name: *

    3. Date of Birth:*

    (You should be 29 years or younger at the time of the application submission)

    4. Gender:*

    5. Country of Residence:

    5b. Please list your country of residence here:

    6. Commonwealth Region:*

    7. If you are applying for CCYDN International Associate Executive Committee positions your Country of Residence must be outside the Commonwealth.
    Confirm your Country of Residence



    Contact Details

    8. Email Address:*

    9. Whatsapp - Mobile Number (Please include + Country Code):

    10. Contact Number (Please include + Country Code):*



    11. What type(s) of disability / impairment(s) do you identify as having?:*

    Blind / Vision ImpairedDeaf / Hearing ImpairedDeafblindnessPhysical ImpairmentsChronic IllnessIntellectual or cognitive disabilityNeurodiversity (E.g. Autism, ADHD)Other

    11b. Please provide any additional details regarding your disability


    12. Your Access Needs

    Please explain how your disability affects your access needs which need to be accommodated for the interview and if you are successful in becoming a CCYDN Executive Committee Member.


    13. Are you a member of Youth Disabled Persons Organisation (YDPO), Disabled Persons Organisation (DPO), Organisation of Persons with Disabilities (OPD), Non Governmental Organisation (NGO), disability related groups, networks or forums?*


    YesNo

    14. Which position are you applying for?

    14a: 9 CCYDN Executive Committee positions disabled youth from the Commonwealth

    14b:

    14c:

    14d. What skills and experience do you have in the position you have chosen?* (Up to 500 words)



    15. What issues are you passionate about or interested in supporting for children and young people’s disability rights, inclusion, participation and representation?* (Up to 300 words)



    CCYDN Committee Work Themes

    16. Which work theme or themes would you be interested to deliver and contribute in?*

    (You can choose more than one)


    17. What skills and experience do you have for the work theme(s) you have chosen?* (Up to 500 words)


    18: Do you have particular skills/experience in any of the following areas? (You can choose more than one)


    AdvocacyLeadershipTraining / Capacity BuildingPeer or Mentor supportEvent organisingOrganising and delivering campaignsProject managementPublic speakingSocial media administrationWriting reports /articles

    18b: Provide Examples (Up to 400 words)


    19: Do you have other skills, experience or attributes that you feel would assist and benefit CCYDN? Can you give provide details:


    20: Although CCYDN Committee members time is voluntary, they are expected to commit ongoing time to CCYDN workplan and strategic goals. If selected, how much time would you be able to commit to?

    21: Being part of CCYDN there are opportunities to be a representative in themed working sub groups, public events, forums, conferences etc. and contribute to reports, research and campaigns would you be interested in this?


    YesNo

    22: Optional Video submission.

    We are also welcoming submission of video with application. Video submission is optional.

    Would you like to submit a video with your application?


    YesNo (This is your choice and it's okay if you do not want to)

    Video submission details:

    Once you have completed the application form you can forward supporting video. The video upto 5 minutes covering the following:

    • You can share more information in the video about why you want to join the Commonwealth Children and Youth Disability Network Executive Committee.
    • What areas you are passionate about or committed to in regards to disability rights, inclusion and equity.
    • What skills, experience, ideas and interests you have so we can get to know more about you.

    Once you have completed the application form you can forward supporting video.

    Please send your video via WhatsApp to +447960105558 or via WeTransfer to ccydn@includemetoo.org.uk

    Please ensure that your full name is added so we can link this to your application form.

    22: To complete the application you will need to upload the following documents:

    • CV / Resume and to include contact details of two referees (with most relevant information relating to position applied for max 2 pages)
    • Optional Work samples including written samples / Showcase on previous work completed by you (max 2 pages)

    If you have any issues uploading files, you can also email these to ccydn@includemetoo.org.uk
    Please ensure the email subject starts with "CCYDN EXCO Application - Full Name"


    Please check you have completed the form and we will be in touch with further information.