Egypt Youth Leadership Jam 2016 – Application

Important Note: Given the sensitive nature of work in the country, your application is completely confidential, and your participation, should you be accepted, will also be confidential, only unless and until you tell us you are comfortable with being public about your involvement in the Jam.

Due to the small and personal nature of the event, this questionnaire is longer and more in-depth than most, because we want to get to know you better. Please share as much as you feel comfortable sharing. There is no min/max length for responses and no pressure. We only ask you to share what you feel is 'enough'. We will follow up with more questions or a phone call if we need more information.

Thank you!

Egypt Youth Leadership Jam

23-28 September 2016

Fayoum, Egypt

Your Name (required)

Your Nickname (what you preferred to be called)

Your Email (required)

Your Address and Phone Number (required)

Your Birthday and Age (required)

Your Organization and Website (if applicable)

Languages and Level of Proficiency (spoken/written)

1. How Did You Hear About the Jam? (required)

2. What is your work in the world? How is your work contributing to making a better, more balanced, healthy and harmonious world? (required)

3. Where are you now in your personal journey? What questions are you living or struggling with? What are your passions and the directions in which you are currently growing or seeking to grow? (required)

4. What does Egypt mean to you? How do you define your identity in the country? How do you see your self, life and work connected to Egypt? (required)

5. What do you hope to receive from the Jam? What do you hope to give to the Jam? Why do you want to come and be a part of this gathering? (required)

6. Do you have any fears, concerns, questions or doubts about the Egypt Jam? (required)

7. Anything else you want to share about yourself?

Please give us a mini-biography of yourself, written in the third person. (For example, “Shireen works on conflict resolution. She has been active for 5 years in this field, and is passionate about community healing. She is... “) This will not be publicized in any way without your consent. By submitting it here, you are agreeing that if you are selected for the Jam, it will be shared with the other selected participants, just prior to the Jam, as a pre-introduction. (required)

A FEW LOGISTICAL QUESTIONS

1. Do you have any special food needs or health challenges that we should be aware of? (required)

While the actual expenses of the Jam (lodging, board, transportation within Egypt, and program expenses) reach 1500 EGP per participant, we ask that you contribute anywhere from 1500 EGP – 2000 EGP as participation fees. Any additional contribution beyond the 2000 EGP are also welcome to support more scholarships for applicants who currently have challenges in their finances. A limited number of partial scholarships for participation are available, and our hope is that money will not be a barrier to anyone’s participation. Please provide honest estimates to the following question:

2. How much might you or your organization be able to contribute to the Jam tuition? (This includes what you might be able to fundraise from family, friends, and/or your community. The Jam staff is available to assist you in fundraising efforts.) (required)

Thank you for taking the time to fill out this LONG application! It will enable us to find the right mix of people. We know the questions are not very easy to answer, and yet you took the time and space to do it. Thank you. We appreciate you sharing so much of yourself and will get back to you as soon as possible.

If you have any questions, please contact us at EgyptJam@gmail.com. And, if you are receiving this application after August 10, 2016, please contact us to make sure there is still space in the Jam before you apply. Thank you!

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