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Personal Information

Date of Birth *MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberDay12345678910111213141516171819202122232425262728293031Year20252024202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925

Gender *

Female Male

AbiaAdamawaAkwa IbomAnambraBauchiBayelsaBenueBornoCross RiverDeltaEbonyiEdoEkitiEnuguGombeImoJigawaKadunaKanuKatsinaKebbiKogiKwaraLagosNasarawaNigerOgunOndoOsunOyoPlateauRiversSokotoTarabaYobeZamfaraFCT – Abuja

Educational Background

Secondary School Higher National Diploma (HND)Bachelor’s Degree Master’s DegreePhD

Experience and Interests

Public SpeakingSocial JusticeHuman RightsPolitical ParticipationGender Equality Other (Please specify)

Essays

Motivation

Criminal or Civil Record History

At any time, have you ever had any of the following, in Nigeria or another country?

A criminal conviction, A penalty for a driving offence (e.g., disqualification for speeding or no motor insurance), An arrest or charge for which you are currently on, or awaiting trial, A caution, warning, reprimand, or other out-of-court penalty, A civil court judgment against you (e.g., for non-payment of debt, bankruptcy proceedings, or anti-social behavior), A civil penalty issued under Nigerian law

Answer to the above questions *

Yes No

Additional Information

Are you able to read, listen, and write in English? *

Yes No

Are you available for the entire duration of the fellowship program? *

Yes No

Are you a registered member of a political party? *

Yes No

Social MediaFriend/ColleagueCommunity Organization School/UniversityOthers

Other history

Involvement in Terrorist Activities
Have you ever been involved in, supported, or encouraged terrorist activities in any country?

Involvement in War Crimes or Crimes Against Humanity
In either peace or wartime, have you ever been involved in, or suspected of involvement in, war crimes, crimes against humanity, or genocide?

Association with Terrorist Organizations
Have you ever been a member of, or given support to, an organization involved in terrorism?

Expressing Views That Justify Terrorist Violence
Have you, by any means or medium, expressed views that justify or glorify terrorist violence or that may encourage others to commit terrorist or other serious criminal acts?

Association with Extremist Organizations
Have you ever been a member of, or given support to, an organization concerned with extremism?

Expressing Extremist Views
Have you, by any means or medium, expressed any extremist views?

Other Activities Indicating Potential Character Issues
Have you ever engaged in any other activities that might indicate you may not be considered a person of good character?

Additional Information on Character or Behavior
Is there any other information about your character or behavior that you would like to make us aware of?

Answer to the above statements *

Yes No

Declaration

I have read and agree that all information submitted is accurate and truthful to the best of my knowledge.

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Application has ended. Successful candidates will be contacted by the 14th of December, 2024