Application for Reporting on Crises and Disasters

1. First name: *This question is required.

2. Family name: *This question is required.

3. Gender: *This question is required.

4. Email address: *This question is required. This question requires a valid email address.

5. Mobile phone number (including country code): *This question is required.

6. City or town you are based in: *This question is required.

7. Country you are based in: *This question is required.

8. Country of citizenship: *This question is required.

9. Job title: *This question is required.

10. Employer: (If you are a freelancer, please list the news outlets you usually work for) *This question is required.

11. Media outlet and media profile – Please provide the name of the media outlet you currently write/contribute to and its brief media profile including reach (views/circulations) *This question is required.

12. Editor details: please provide name, email and phone number of your editor. If you are a freelancer, please provide details of one or more editors who you report for: *This question is required.

13. Reference details: please provide name, job title, place of work, email and phone number of one independent reference (not a colleague or family member). This person should be able to vouch for your abilities as a journalist: *This question is required.

14. Please list your previous employers, dates and locations (maximum: 150 words): *This question is required.

15. Please list your educational qualifications (maximum: 100 words): *This question is required.

16. Have you taken part in a Thomson Reuters Foundation training course before?: *This question is required.

17. Please list any training courses and professional development schemes you have taken part in, including any Thomson Reuters Foundation training courses. Please include approximate dates. (maximum: 200 words): *This question is required.

18. Please write a short (four to five sentences) biography outlining your career: *This question is required.

19. What are the main weaknesses in humanitarian crises and disaster reporting in your country and/or region *This question is required.

20. Explain how you hope to benefit from this training programme: *This question is required.

21. Please confirm if you have the following:
*This question is required.

1. If you are based outside of Thailand, you have a passport with at least 6 months of validity remaining beyond the date on which you will enter Thailand.
2. There are no restrictions on you travelling to Thailand to participate in the in-person training. [Tick box to confirm]

22. Do you want to receive information from ADB on news and future capacity building programs?

23. Do you want to receive information from Thomson Reuters Foundation on news and future capacity building programs?: *This question is required.

24.

Please provide links to two work samples related to crises and disasters in the box below:

If you cannot provide links, please instead upload documents using the upload section below.

*This question is required.

25.

Uploading work samples: Please use the buttons below to upload two work samples. The maximum file size is 5 MB

*This question is required.

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