United Nations Youth Association
of Australia

Activities

StatesMUN 2010 Application Form

Please complete the form below to be considered for the 2010 StatesMUN delegation. All fields in this form are compulsory.

To be eligible, applicants must be aged between 18 and 24 at the conclusion of the conference (14 February 2010), be enrolled at a tertiary institution at the time of the conference and have Australian citizenship.

Delegates will be selected with regard to their capacity to get the most out of the experience academically, professionally and personally. More information is available in the StatesMUN FAQ.

StatesMUN 2010 Application Form

Personal Details

• Given name
• Family name
• Address
• City/Town
• Postcode
• State/Territory
• Date of Birth(Day) 12345678910111213141516171819202122232425262728293031 Date of Birth (Month) January February March April May June July August September October November December Date of Birth (Year)
• Gender Female Male Other
• Phone (H)
• Phone (M)
• Email
• Citizenship
• Photograph

Academics

• Institution
• Current year of study
• Year of graduation
• Degree
• Major(s)
• Grade Point Average

Motivation

• Motivation (Max. 150 words.) Why do you want to be part of the StatesMUN delegation? What do you hope to achieve from this experience?

Extra-Curricular and Community Service

• University clubs & societies In the last three years, what university clubs and societies have you been a member of, and what positions have you held in those clubs? (School leavers may list high school organisations.)
• Community service In the last three years, what community service groups outside university have you been a member of (including UNYA Australia), and what positions did you hold in those groups?
• Awards & recognition List any awards or recognition you have received for community activities, programs and participation.
• Contribution (Max. 200 words) How will your interest and experience help you to contribute to the StatesMUN 2010 delegation?

Concluding statements

• Give & Take (Max. 500 words.) What will you give to the StatesMUN experience? What will you take from it?
• How did you hear about StatesMUN?
• Is there any further information you wish to supply? (Max. 100 words.)

References (2)

• Name
• Organisation
• Position
• Phone (W)
• Phone (M)
• Email

• Name
• Organisation
• Position
• Phone (W)
• Phone (M)
• Email

• Apply now

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