Preventing Violence Against Women & Girls: Engaging Men Through Accountable Practice

APPLICATION FORM

Preventing Violence against Women & Girls: Engaging Men through Accountable Practice A field-tested approach for post-conflict communities

Thank you for your interest in the Preventing Violence against Women & Girls: Engaging Men through Accountable Practice training offered by the International Rescue Committee.

Please complete this application form and submit it electronically with your updated CV before June 7, 2012. Your application will not be considered complete if you do not submit your CV. (For field-based staff, forms can be printed and scanned, or responses pasted directly into the body of an e-mail.)

PERSONAL CONTACT INFORMATION

EMPLOYER INFORMATION QUESTIONS 1. Why are you interested in this particular training? (please select from the list below) o I currently implement prevention activities with men and women in post-conflict communities and I want to gain skills and knowledge in a new approach o I want to begin engaging men in GBV prevention in the setting that I work o I want to provide my staff with skills and knowledge in engaging men in GBV prevention in post- conflict settings o My organization provides funding for NGO’s in post-conflict settings and is looking for innovative prevention models o Other: ______

2. What us your role within your organization? (please select from the list below) o I work directly with clients and implement prevention and/or response program activities o I provide technical assistance and support to program staff o I provide funding and/or training opportunities to NGO’s o I manage programs and supervise staff o Other: ______

3. What kind of prevention and/or response services does your organization currently provide in humanitarian settings? (please select all that apply) o Engaging men and boys o Services for survivors of GBV o Social norms marketing campaigns o Community mobilization o Awareness raising o Women’s empowerment programming o Other (please specify): ______B. Are these activities currently taking place in the setting in which you work? o Yes o No 4. Please note that the EMAP intervention is intended to be implemented by two practitioners (one female and one male) who will work closely together and meet on a weekly basis throughout the duration of the programming. In addition, the intervention calls for an initial training of trainers, as well as weekly meetings with the two practitioners, led by a program supervisor. o Are you applying with a colleague? If so, please list his/her name: ______o Are you applying with a supervisor? If so, please list his/her name: ______o Is this structure feasible for you and your organization? If so, please explain briefly how you anticipate you will coordinate these program components.

5. Have you participated in any training opportunities focused on gender or aspects of GBV prevention? If so, please specify.

6. Have you participated in any training opportunities focused on engaging men and boys? If so, please specify.

7. Are you willing to develop an action plan for introducing the EMAP approach to your programs/organization and engaging with IRC trainers in follow up interviews following the training? ATTENTION: All applications must be received by June 7, 2013. Please send applications to: Sarabeth Harrelson Program Assistant Women’s Protection & Empowerment Technical Team The International Rescue Committee [email protected] +1(212)551-3034

Selected participants will be notified by June 14, 2013.