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. Country of Residence:*

5. Commonwealth Region:*

6. Email Address:*

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

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



9a. What type(s) of disability / impairment(s) do you identify as having?:*

Blind / Vision ImpairedDeaf / Hearing ImpairedDeafblindnessPhysical ImpairmentsChronic IllnessIntellectualAutismOther

9b. Any additional details regarding your disability / impairments


10. 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.


11. Are you a member of any other Disabled Persons Organisation, Non Governmental Organisation, disability related groups, networks, forms organisations?*


YesNo

12. What issues are you passionate about or interested in supporting for children and young people’s disability rights, inclusion, participation and representation?* (Up to 400 words)



CCYDN Committee Work Themes

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

(You can choose more than one)


14. What skills and experience do you for the work theme(s) you have chosen?* (Up to 400 words)


15a: Do you have particular skills/experience in any of the following areas?

(You can choose more than one)


AdvocacyPeer or Mentor supportEvent organisingOrganising and delivering campaignsProject managementPublic speakingSocial media administrationWriting reports /articles

15b: Provide Examples (Up to 400 words)


16: Do you have other skills, experience or attributes that you feel would assist and benefit CCYDN? (Up to 400 words)


17: 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?*


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


YesNo

19: CCYDN will be electing a new Youth Co-Chair very shortly. Would this be a role you would be interested in applying for?

(Please note that choosing ‘no’ will not prevent you from standing if you later change your mind.)


YesNo

20: We are also welcoming submission of video with application.

Video submission is optional.The video up to 5 minutes should cover 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.

Would you like to submit a video with your application?


YesNo

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.


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