Application Form for PPIA VOA Fellowship 2016 2017
PPIA-VOA BROADCASTING FELLOWSHIP
PROGRAM
2016/2017
APPLICATION FORM
Please complete this form as an MS Word document. When you have answered all
questions, please email the completed application as an attachment to:
fellowship@voanews.com
Additional instructions for submitting this application are found at the end of this
form.
The application deadline is December 31st, 2015.
1. Name of applicant (Mr. /Ms.):
(Exactly as it appears in your KTP)
2.
Mailing Address:
Street or Post Office Box
City
Province
Postal Code
3. Phone Number:
4. Mobile Phone Number:
5. Email Address:
6. Date of Birth:
__ __ / __ __ / __ __ __ __ (Day/Month/Year)
7. Place of Birth:
City
8. Sex: Male
Province/Country
Female
9. Post Secondary Education: (Undergraduate Degree)
Institution
Major Subject
Graduation Year
Degree
Institution
Major Subject
Graduation Year
Degree
10. Secondary Education: (High School)
Institution
Dates
11. Work Experience
Position
Organization
Dates, From:
To:
Position
Organization
Dates, From:
To:
Position
Organization
Dates, From:
To:
12. Memberships and Positions in Professional Associations, Awards, Honors, etc.
13. Travel Outside of Indonesia (Please list countries, year and purpose of travel.)
14. Language Ability (English fluency is required.)
Language
Speaking Proficiency
(Excellent/Good/Fair)
Reading Proficiency
(Excellent/Good/Fair)
_________
15. Please write your TOEFL Score here: ____________________
And attach your TOEFL/IELTS result together with this application form
16. References:
Please provide the names and contact information of three people who can provide professional or
academic references.
Name
Title
Organization
Phone
Email
Name
Title
Organization
Phone
Email
Name
Title
Organization
Phone
Email
Essay Questions:
(Please insert your answers below each question.)
17. Please describe your particular knowledge, skills and abilities in journalism, TV and/or radio
broadcasting.
18. Please describe your interest and experience in cross-cultural communication or international
understanding. (Please respond in approximately 100 words)
19. What do you believe was the most important international news event in the past 12 months?
Please explain your choice. (Please respond in 200 words or less)
20. State the mission of VOA in your own words. How can you contribute to VOA’s programming
for Indonesia? (Please respond in approximately 250 words)
Additional Instructions:
Samples of your work are not required at this time.
Applications must be received by the application deadline, December 31st, 2015, in order to be
considered.
Current students must complete their studies before December 31st, 2015, to be considered in this
program.
Applicants who are currently working must have less than 3 years of experience before
December 31st, 2015, to be considered for this program.
PROGRAM
2016/2017
APPLICATION FORM
Please complete this form as an MS Word document. When you have answered all
questions, please email the completed application as an attachment to:
fellowship@voanews.com
Additional instructions for submitting this application are found at the end of this
form.
The application deadline is December 31st, 2015.
1. Name of applicant (Mr. /Ms.):
(Exactly as it appears in your KTP)
2.
Mailing Address:
Street or Post Office Box
City
Province
Postal Code
3. Phone Number:
4. Mobile Phone Number:
5. Email Address:
6. Date of Birth:
__ __ / __ __ / __ __ __ __ (Day/Month/Year)
7. Place of Birth:
City
8. Sex: Male
Province/Country
Female
9. Post Secondary Education: (Undergraduate Degree)
Institution
Major Subject
Graduation Year
Degree
Institution
Major Subject
Graduation Year
Degree
10. Secondary Education: (High School)
Institution
Dates
11. Work Experience
Position
Organization
Dates, From:
To:
Position
Organization
Dates, From:
To:
Position
Organization
Dates, From:
To:
12. Memberships and Positions in Professional Associations, Awards, Honors, etc.
13. Travel Outside of Indonesia (Please list countries, year and purpose of travel.)
14. Language Ability (English fluency is required.)
Language
Speaking Proficiency
(Excellent/Good/Fair)
Reading Proficiency
(Excellent/Good/Fair)
_________
15. Please write your TOEFL Score here: ____________________
And attach your TOEFL/IELTS result together with this application form
16. References:
Please provide the names and contact information of three people who can provide professional or
academic references.
Name
Title
Organization
Phone
Name
Title
Organization
Phone
Name
Title
Organization
Phone
Essay Questions:
(Please insert your answers below each question.)
17. Please describe your particular knowledge, skills and abilities in journalism, TV and/or radio
broadcasting.
18. Please describe your interest and experience in cross-cultural communication or international
understanding. (Please respond in approximately 100 words)
19. What do you believe was the most important international news event in the past 12 months?
Please explain your choice. (Please respond in 200 words or less)
20. State the mission of VOA in your own words. How can you contribute to VOA’s programming
for Indonesia? (Please respond in approximately 250 words)
Additional Instructions:
Samples of your work are not required at this time.
Applications must be received by the application deadline, December 31st, 2015, in order to be
considered.
Current students must complete their studies before December 31st, 2015, to be considered in this
program.
Applicants who are currently working must have less than 3 years of experience before
December 31st, 2015, to be considered for this program.