Become a Knight International Partner Organization

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Application Summary Sheet

Name of Organization *

Contact Person *

Primary Source of Your Organization's Funding (Private, Government, Membership, etc.) *

Would you like to keep you application active for subsequent round? *

Organization Information

Key Contact (name of individual) *

Title *

Business Address: *

Additional Address Information

Telephone number *

Fax

E-mail address *

Date Organization was Established *

Please describe the general purpose and primary activities of your organization. *

Please provide a brochure of your organization, copies of publications, etc. They can be uploaded below or mailed separately to: 1616 Hst, NW 3rd floor, Washington, D.C. 20006

Please describe activities in which a fellow could participate such as workshops, seminars, individual consulting, classroom instruction, curriculum development, etc. In doing so, please be as specific as possible. *

Please describe specific project opportunies for a Knight International Journalism Fellow.

If you have had international trainers before, please indicate when and under what auspices. Briefly explain how a Knight Fellow could complement and improve upon the work of previous trainers. *

Please provide contact information for other individuals and/or organizations familiar with your work whom we may contact for further information. *

Organizational Support and Requirements

Partner organizations will be asked to help arrange housing for a Knight Fellow. Please indicate below what other assistance your organization will be able to provide. Basic office facilities (desk, telephone, etc. )ComputerInternet accessCopying facilitiesTelefax machineConference rooms or other facility for workshops

Other

How do you expect the fellow to perform his/her work while in your country? Primarily at your facilityPrimarily at another facilityTraveling to various news organizations or workshop sites to conduct training

Other (please explain)

What is the primary language used by your organization? *

Other comments on language requirements:

I confirm that all statements in this application are true.

Signature *

Title *

Date *

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