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CARIBBEAN EMERGING WILDLIFE CONSERVATION LEADERS
Participant Application – DUE JANUARY 6, 2012
I. APPLICANT INFORMATION
1) Name: _____________________________________________________________________
2) Current Position: _____________________________________________________________
3) Organization/Institution/School: ________________________________________________
4) Email Address: ______________________________________________________________
5) Work Address and Phone Number (Home number if student):
6) Number of years employed in wildlife:
Paid work: ____________________________________
Volunteer work: ________________________________
7) Current Supervisor (if applicable):
Name:
Affiliation:
Phone:
Email:
8) 1st Wildlife Conservation Reference:
Name:
Affiliation:
Phone: Email:
9) 2nd
Wildlife Conservation Reference:
Name:
Affiliation:
Phone: Email:
10) How did you learn about C-EWCL?:
II. ELIGIBILITY CRITERIA
1. Are you able to attend a four day/four night training course from April 30-May 4, 2012 in
Antigua, an online webinar in late April/early May 2013, and a four day/four night
training course in Antigua in late April/early May 2014? All travel costs will be covered
by the C-EWCL initiative.
Yes: _________
No: _________
2. Can you demonstrate at least three years previous commitment to wildlife conservation?
Yes: _________
No: _________
3. If employed, do you have permission from your current supervisor to accept an invitation
to participate in the C-EWCL initiative?
Yes: ________
No: _________
4. Are you able to understand course materials and lectures presented in English?
Yes: ________
No: _________
5. Are you a citizen of a Caribbean country and do you anticipate at least 15 more years of
expected professional commitment to the wildlife conservation field in the Caribbean as a
leader?
Yes: ________
2
No: _________
Note: Selected participants will have a wide variety of experience in education, training,
affiliation, and personal backgrounds, so as to allow for the most balanced participant group
possible. Participants will be expected to devote time throughout the two-year period to designing
and implementing a group wildlife conservation project.
II. WILDLIFE CONSERVATION COMMITMENT
Please describe your commitment to wildlife conservation, including species and other campaigns
on which you’ve personally worked (Maximum 500 words).
III. LEADERSHIP SKILLS
Please describe why you consider yourself an emerging leader in the wildlife conservation field,
and where you would like to ultimately end up in your professional career. (500 words max)
IV. TRAINING
1) Have you received training in any of the following areas (please mark all appropriate
responses, and circle the appropriate classification of “informal” or “formal” for each):
____ BIODIVERSITY (Formal or Informal)
____ LEADERSHIP TRAINING (Formal or Informal)
(If formal, please describe:)
____CAMPAIGNING SKILLS (Formal or Informal)
____ COMMUNICATIONS/MEDIA (Formal or Informal)
____ PUBLIC SPEAKING (Formal or Informal)
____ FACILITATION/MEDIATION (Formal or Informal)
____ FIELD RESEARCH (Formal or Informal)
____ POLICY/LEGISLATIVE PROCESS (Formal or Informal)
____ ENVIRONMENTAL EDUCATION (Formal or Informal)
____ FUNDRAISING (Formal or Informal)
2) Of the above training topics, which two do you believe you have the most strength/experience
in? Which two would be most useful to you? Do you have additional training topic suggestions?
(200 words max).
3). What do you hope to gain from the C-EWCL experience overall? (300 words max).
Please email your application and resume to Beth Allgood, Director, C-EWCL Board of
Directors, at: [email protected].
If you cannot complete our online application, please send a completed copy of this form, along
with your resume to:
Beth Allgood
International Fund for Animal Welfare
1350 Connecticut Ave, NW
Suite 1220
Washington, DC 20036
Candidates from under-represented groups in conservation are strongly encouraged to
apply.
