Application Form (en) Youth Multistakeholder Consultation on the Post2015 Dev Agenda in Bali
1. Youth Multistakeholder Meeting in Alignment with HLPEP Consultation on Post-2015 Development
Agenda, Nusa Dua, Bali Indonesia
Position Description: Youth Delegate
Overview:
As the end of Millennium Development Goals (MDG) is just around the corner (2015), it is imperative
that young people play a progressive role in holding multilevel stakeholders accountable to their
commitments and obligations in poverty alleviation.
In alignment with the upcoming High Level Panel of Eminent Persons (HLPEP) chaired by President
Yudhoyono of Indonesia, President Sirleaf of Liberia and Prime Minister Cameron of the UK that takes
place in Bali, youth working group envisions to further utilize the parallel stakeholders meeting to
facilitate the input of young people into discussions around ‘Global Partnerships and Means of
Implementation’ for the post-2015 framework, the theme of the 4 th meeting of the HLPEP. The
upcoming meeting is a pivotal event for the youth constituency as it will shape the future of the
development agenda and its effectiveness in addressing the issues that disproportionately affect
young people such as health, comprehensive education, access to decent employment, ecological
conservation and economic inclusion.
We are eager to welcome young people across the globe to join us at this meeting and we are looking
for bright and passionate young people to come to Bali as youth delegates. Youth delegates will come
to represent various groups as well as regions around the world and will convene in Nusa Dua, Bali
from March 24th to 25th 2013. Youth delegates will be given the opportunity to debate, discuss and
champion with high-level decision makers on what a post-2015 development agenda should look like,
how it should be implemented and how youth voices are well integrated into the process.
Activities:
a. Youth Caucus/Strategy Meeting, March 24th 2013
One day consolidation meeting to further adjust the level of knowledge on HLP activities; various
processes within the post-2015 framework such as Rio+20 Summit, SDGs, ICPDs, thematic
consultation, etc; as well as planning youth input into into the multi-stakeholder meeting.
b. Multistakeholder Meeting (Parallel Group Discussion for Youth), March 25 th 2013
A strategic meeting with the focus on constructive dialogue in inputting the HLP members on the
interplay of key stakeholder, impact and scale of post-2015 development agenda as well as
translation from aspiration to goals and indicators.
Location:
Bali Nusa Dua Convention Centre, Bali, Indonesia
Classification:
- At the age of under 30 years old by March 24 th, 2013
- Strongly passionate in development field, especially Millennium Development Goals (MDGs) and
other related issues
- Experience and familiarity with HLPEP and Post-2015 Development Agenda
- Active in organization(s), preferably those with working areas related to development and youth
issues
- Stellar leadership and organizational skills
- Prior experience(s) in consultation meetings related to Post-2015 Development Agenda is
preferable, but not compulsory
- Fluent in English is preferable, but not compulsory
The committee will ensure that the final selected delegates will bring together a wide range of life
experiences, abilities and social, economic and cultural backgrounds
2. Youth Multistakeholder Meeting in Alignment with HLPEP Consultation on Post-2015 Development
Agenda, Nusa Dua, Bali Indonesia
Youth Delegate Application Form
A. Basic Information
1. First and Middle Name: ________________
2. Surname / Family Name: ________________
3. Date of Birth: ________________
4. Gender: Male Female Other
5. Nationality: ________________
6. Current address: ________________________________________
7. Phone number (including country code): ________________
8. Email address: ________________________
B. Organization
1. Name of organization: ________________
2. Description of organization (not more than 100 words): ________________________
3. Position in the organization: ________________
4. Area of work (you may tick more than one):
Youth empowerment
Women empowerment
Children
Access to decent employment
Comprehensive education
Ecological conservation
Human Rights
Sexual Reproductive Health and Rights
LGBTQ
HIV / AIDS
Traditional Knowledge and Indigenous People
People with disability / diffable
Other, please specify ________
5. Organization’s website (if any): ________________________
C. Your Suitability for this position (please answer in not more than 250
words/question)
1. Why are you interested to be a youth delegate?
2. How can your experience and knowledge in MDGs and Post 2015 Development
Agenda enrich the discussion process during the meeting?
3. What do you envision the Post-2015 goals should look like?
3. Youth Multistakeholder Meeting in Alignment with HLPEP Consultation on Post-2015 Development
Agenda, Nusa Dua, Bali Indonesia
4. What do you expect to take away from this experience?
5. How do you intend to disseminate and implement the outcomes of this meeting to a
wider audience at national and/or regional levels?
D. Financing
We strongly encourage each participant to cover his/her participation costs by him/herself since
financial support is very limited.
How do you finance your participation in this meeting?
I am fully self-financed
I need full support
I need partial support on (please specify percentage if possible):
Airfare ticket
Airport Tax
Accommodation
Stipend
Other, please specify _______
E. References
1. - Name: ________________________
- Institution: _______________________
- Position: _____________________
- Email address: _____________________
- Phone number (including country code): ____________________
F. Diversity
What is this section and how will the information be used?
Young people are different in so many ways. We want to ensure that young people taking part in the UN High Level Panel
Event reflect this wonderful diversity.
Therefore, we're asking you to complete the following form. This is not compulsory but the information will be treated as
confidential.
If you have any questions about how this information will be used please contact
jessica_angkasa@indonesianfutureleaders.org and disty@g20youthindonesia.org
Country of Birth
Language Spoken
Racial Background
What is your current employment/education status?
4. Youth Multistakeholder Meeting in Alignment with HLPEP Consultation on Post-2015 Development
Agenda, Nusa Dua, Bali Indonesia
I'm in formal education (e.g. school,
university, college)
I'm employed full time
I'm employed part-time
I'm self-employed
I'm unemployed and/or job-seeking
I'm volunteering
Other (please specify):
I'd prefer not to say
What level of education have you completed? (please X all that apply)
Not completed any education (no
qualifications)
Primary School
Secondary school
Under-graduate degree
Post-graduate degree
Other formal training / qualifications
(please specify)
I'd prefer not to say
How would you describe where you live?
I live in a large town or city (i.e. an urban
area)
I live in a village or very remote area (i.e.
a rural area)
Do you consider yourself to have a disability?
Yes, please specify
No
I'd prefer not to say
Thank you for completing this diversity section.
All application must be submitted by 11.59 PM WIB (GMT +7) on February 28th, 2013 with the
attached resume/cv. Only complete applications are considered. If the website doesn’t work, you may
send the complete applications to post2015bali@gmail.com . Due to an expected high volume of
applications received, the selection team is unable to notify you on your application status before the
announcement date.
All applicants will be notified of the selection outcome via e-mail after March 4 th, 2013.
Should you have questions or comments about the selection, please address them to
jessica_angkasa@indonesianfutureleaders.org and disty@g20youthindonesia.org