IRP Trip to Mozambique – Online Application

Application Deadline: September 2, 2024

Please enter your information into the application form:

Name:  Mr.  Ms. 
Current Address:
Work Phone:
Mobile Phone:
Email:
Date of Birth: Month:  Day:  Year: 
Place of Birth:
Citizenship:
Current employer:
(note: if freelancer, enter ‘freelance’)
Current job title:
(note: if freelancer, enter ‘freelance’)
How long with current employer:
Previous positions
with current employer
(including dates):
Previous employers (begin with most recent):
1. Employer:
Positions held:
Period of employment:
2. Employer:
Positions held:
Period of employment:
Education
Schools attended, years graduated, degrees earned:
Languages (list degree of proficiency — fair, good, fluent):
Spoken:
Written/Reading:
International travel
Please list countries visited, dates and purposes of visits. If you have visited Mozambique before, please note when and why.
Please list and link to the websites with which you are associated. What kind of work have you done for them? How many unique visitors have these sites drawn, and what are their average numbers of monthly hits? Please be as specific as possible.
Please list and link to your personal and professional social network platforms, including Twitter, Facebook, YouTube, Pinterest, Instagram, Tumblr and any others. Include numbers of fans, followers and subscribers.
The focus of the reporting trip to Mozambique will be on immunizations and child health in Mozambique, particularly in light of the upcoming decisions to be made by the global community on replenishing the Global Alliance for Vaccines and Immunisation (GAVI) as it begins a new cycle for 2016 to 2020.

The IRP trip will look at immunization efforts in Mozambique in the larger context of maternal and child health, nutrition, women’s empowerment, governance and access to health care in rural and remote areas.

In 800 to 1,000 words, please describe the stories and angles you would like to pursue on these topics.
Mozambique trip fellows are required to produce blog posts, social network updates, stories and other content throughout the trip. How often would you post, and what type of stories–blog posts, slideshows, Storifies, video and audio clips–do you plan to produce? Where will these stories appear?
Are there any organizations, individuals or locations in Mozambique you would like to visit?
Reference:
Name:
Organization and title:
Contact phone:
Contact email:
How did you first hear about IRP’s international trips?
I agree to abide by the terms of the IRP program and to produce news stories that will appear on the IRP website and on the websites of IRP donors when appropriate. These stories will be treated as full collaborations by the IRP, the journalist, and the journalist’s news organization (where relevant). Any added elements to the story, such as stock photography, may also be used by the IRP. I agree to give credit to the IRP on all stories produced as a result of the fellowship and to treat the IRP as an equal partner in submitting these stories for journalism contests and awards.
Signature:
(Please type your name into the field)
Date: Month:  Day:  Year: