2018 ASIA YOUNG LEADERS

FOR DEMOCRACY
PROGRAM

Application Form
1. Please send the completed application via email (PDF format) to
ayld@tfd.org.tw
2. Applications must be received no later than May 15th, 2018. Late
applications will not be accepted.

I. Basic Information

Family Name: _________________________

PHOTO
Given Name: _________________________

Gender: ____________________

Date of Birth: _______________

dd/mm/yyyy

Nationality: _________________

Street Address: _______________________________________

City: ____________________ Country: __________________

Tel: __________________________

Fax: __________________________ E-mail: ________________________

Organization/Institution: _______________________________

Title/Position: ________________________

Signature: ____________________ Date: _______________

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II. Attendance Commitment
□I commit myself to attending the program for its full duration.

Signature: ____________________ Date: _______________

III. Statement of Purpose

Personal Background
Describe your personal and professional experience in terms of your work as a
democracy and human rights advocate. Please also include a description of your
accomplishments and any awards you received for your work in furthering
democracy and human rights in your country and elsewhere. (Limit: 500 words)

Vision
Provide a description of what you believe to be one of the major obstacles to the
progress of democracy and human rights. How has your own work helped to
overcome these issues and problems? What are your plans following the
completion of the AYLD program and how do you think this program can help
you in terms of your own vision and career path? (Limit: 500 words)

IV. Experience
Have you ever attended AYLD in the past?
□Yes □No

Have you been to Taiwan?

□Yes □No

Have your NGOs applied for any grants from Taiwan?

□Yes □No

Have you ever applied for TFD research fellowship?

□Yes □No

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V. Referees
Please provide the information of your two referees. Please attach the two
recommendation letters in PDF format with your application e-mail directly
to ayld@tfd.org.tw.

REFEREE 1

Name:______________________

Title/Position:___________________________

Organization/Institution: _______________________________

E-mail: _______________________________
REFEREE 2

Name:_______________________

Title/Position:___________________________

Organization/Institution: _______________________________

E-mail: _______________________________