Nguyen Chung Tai (Vietnam, ppt 1)

Use this form to complete Positive MSM Community Leadership application – please type or print neatly. This form should be completed in English.

The form MUST be signed and scanned and sent as an email to "Nid" thanid@apnplus.org before CBO (5:00 PM Thailand) on 31^st December 2010.

1 - Personal Information

1. Full name of Applicant	Nguyen Chung Tai
2. Date of Birth (DD/MM/YYYY)	11/04/1987
3. Country	Viet Nam
4. (Organisation affiliated to) optional
5. Current occupation	Current occupation
6. Number of years working on MSM or TG activities	03 years
7. Phone and Email address	Phone: (+84) 947110642
	Email: meinekuhl@gmail.com
8. Highest educational level attained	High school
9. Current English language proficiency	Reading Basic X Intermediate Advanced Writing Basic X Intermediate Advanced Comprehension Basic X Intermediate Advanced

Please check the following boxes below as it pertains to you.

a) Do you have a valid passport or willing to acquire a passport at your own expense?

*Yes X No

*Please include a copy of the page that has your information and photo on it i.e. expiry date and passport number.

b) Do you need a visa to travel to Bangkok, Thailand where most of the trainings will be held?

YesX No

2 – Personal Skills and Experiences

Please use this space to detail your skills and experiences in general MSM and HIV intervention activities. For example coordination, peer outreach, edutainment activities and counselling etc.

Maximum of-700 words. DO NOT exceed the space provided

- Advocacy
- Negotiation-presentation.
- Project Management.
- Planning and monitoring and evaluation.
- find information and use information via the internet.

3 – Personal Statement

Please use this space to detail why you think you are suitable for the programme. Maximum of 700 words. DO NOT exceed the space provided

- Participate in activities in the field of HIV / AIDS since 2006 - 2007

- Knowing the MSM, and MSM to work from 2006 to date

- Has attended training on administration and organization of events VSO Vietnam, as well as training courses on capacity building project-management-planning and monitoring-evaluation of advocacy UNAIDS, CARE Vietnam.

4 – Future plan after finishing programme

Please use this space to detail how you would apply the learning and skills gained from the program if you were a successful candidate. Maximum of 700 words. DO NOT exceed the space provided

Have the ability to contribute fully to their own policy reforms in Vietnam on equal rights, regardless of the treatment puzzle-discrimination against people living with HIV / AIDS and MSM. (I myself just as people with HIV, is both the MSM, so I wanted to do something for your community.)

5 – References

Please list two reference persons (i.e. your past or current employer or focal person of PLHIV national network) we may contact regarding the application.

Name	Nguyễn Mỹ Linh
Position	Employees
Organisation	UNAIDS VIET NAM
Phone (including dialling code)	(+84) 912250141
Email	NguyenL@unaids.org
How did you know this person	Job

Name	Phạm Thị Thanh Huyền
Position	Project Management
Organisation	Care Viet Nam
Phone (including dialling code)	(+84) 904117798
Email	ptthuyen@care.org.vn
How did you know this person	Job

6 - Signature of applicant

	Please note that the intention of the APN+ MSM Community Leadership Program is to target those young MSM who are HIV positive within the APN+ affiliated country national networks from the GMR (this includes the whole of China, it is NOT limited to Guangxi and Yunnan provinces only). I hereby certify that the information provided in this application is true and correct. I understand that providing false or misleading information will disqualify me from appointment, or if appointed, will render me liable to dismissal from the program.
	Sign		Date
	Nguyễn Chung Tài		22/12/2010

Sai Khan Khay (Myanmar, ppt 4)

Use this form to complete Positive MSM Community Leadership application – please type or print neatly. This form should be completed in English.

The form MUST be signed and scanned and sent as an email to "Nid" thanid@apnplus.org before CBO (5:00 PM Thailand) on 31^st December 2010.

1 - Personal Information

1. Full name of Applicant	Sai Khan Khay
2. Date of Birth (DD/MM/YYYY)	19.3.1979
3. Country	Yangon , Myanmar
4. (Organisation affiliated to) optional	Medecins Du Monde
5. Current occupation	Preventive Peer Educator
6. Number of years working on MSM or TG activities	2 Years
7. Phone and Email address	Phone: +951 662604 , 652658
	Email:wawarnar@gmail.com
8. Highest educational level attained	Bachelor of Econimic
9. Current English language proficiency	Reading aBasic Intermediate Advanced Writing aBasic Intermediate Advanced Comprehension a Basic Intermediate Advanced

Please check the following boxes below as it pertains to you.

a) Do you have a valid passport or willing to acquire a passport at your own expense?

*Yesa No

*Please include a copy of the page that has your information and photo on it i.e. expiry date and passport number.

b) Do you need a visa to travel to Bangkok, Thailand where most of the trainings will be held?

Yesa No

2 – Personal Skills and Experiences

Please use this space to detail your skills and experiences in general MSM and HIV intervention activities. For example coordination, peer outreach, edutainment activities and counselling etc.

Maximum of-700 words. DO NOT exceed the space provided

I am Sia Khan Khay . I have taken ART since 13th November 2007 . I buried my life in HIV implementation from 1999 and then I run as a volunteer in MdM at 2008 while doing as a volunteer, I involve as a member in Self help group name Noble Care. Mission of our group is to take care of PLHA patients in Hospital. In weekly meeting we all member put at least 1000 kyats as a fund and after that , we can lend to other member with low interest .We can support the ill member admitted to the hospital with this interest getting from the fund. I became a peer educator in MdM since 2009 . Our MdM support these activities such as VCCT , STI and ART program to high risk groups sex worker and MSM . We have different groups and teams perform our responsibilities in MdM . It can mainly differentiate into outreach , DIC and Clinic . I am mainly working under prevention team in outreach and DIC . We have to perform our outreach and DIC activities alternately . We give HE session and free condom distribution to high risk (area). If they want to do VCCT , we take them along with us to clinic . Some MSM and sex worker can come to clinic by themselves because we give leaflet , address card to them during outreach activities . We have beauty Spa for high risk coming to MdM clinic . In this spa , MSM made nail art , washing hair , straightening hair , drying hair , washing face to customer with low rate . We celebrated World AIDS Day as a miracle fair festival every year . Our peer groups can attended workshop training invite by other NGO such communication training , counseling training , team building training and home base care training.

3 – Personal Statement

Please use this space to detail why you think you are suitable for the programme. Maximum of 700 words. DO NOT exceed the space provided

As I am a MSM , I am quite suitable for this training . I was not in good understanding about HIV in previous time . So I got HIV. If youth MSM and TG can give health education efficiently , HIV incidence will decrease . I attended many trainings for health education to MSM , TG and hidden gays with the knowledge of these trainings .But I think myself I still need to improve. I am sure that I will have more knowledge if I can attend this trainings . So , I think I am suitable for this program. When I am selected to attend this training , I think I can do to lessen stigma and discrimination among MSM , TG and Hidden gays due to the training for this training . I will guide them to discuss the life of MSM , TG and Hidden gays with each other . We can learn how MSM , TG , PLHIV work for their lives in other countries and we can imitate the to improve our lives by attending this training . I will meet and share knowledge with MSM , TG from various countries and can have a chance to know how they stand for their lives and can share knowledge to MSM and TG from Myanmar . In our country , if one MSM , TG is positive , there is stigma and discrimination . So they need support . I think I can get good opportunities or chance from this training so that I can share my experience to MSM , TG in Myanmar .

4 – Future plan after finishing programme

Please use this space to detail how you would apply the learning and skills gained from the program if you were a successful candidate. Maximum of 700 words. DO NOT exceed the space provided

IF I am selected , I will use the good knowledge gained from this program for the improvement of MSM , TG . I will do more in prevention. I will do training for MSM , TG . I will get better communication from this program. I can know who can help us and where we can help . If I can learn how to write a proposa , I will ask the opportunity for MSM , TG. I will collect MSM , TG at Yangon and lead to create self help groups . I will give trainings like positive prevention , STI , Psychosocial Support , Home Base Care , Gender issues , Stigma and Discrimination to MSM and TG self help groups . I will give care and support for the people who suffer AIDS . I will send well –trained MSM and TG to rural area for outreach health education. I will created MSM , TG network. I will make MSM , TG consultation . We will share the progress and down-trends of our projects . I would like to do community based organization . I will find donors to get ART for HIV positive MSM and TG . I will also try to receive nutritional support for them .

5 – References

Please list two reference persons (i.e. your past or current employer or focal person of PLHIV national network) we may contact regarding the application.

Name	Mary Anne
Position	Drop In Centre Super visor
Organisation	Medecins Du Monde
Phone (including dialling code)	95 1 662604 , 652658
Email	An4ant@gmail.com
How did you know this person	She is my direct supervisor .

Name	Maung Maung Ye Min Thein
Position	outreach activity officer
Organisation	Medecins Du Monde
Phone (including dialling code)	95 1 662 604 , 652 658
Email	mmymthein@gamil.com
How did you know this person	He is my direct supervisor.

6 - Signature of applicant

	Please note that the intention of the APN+ MSM Community Leadership Program is to target those young MSM who are HIV positive within the APN+ affiliated country national networks from the GMR (this includes the whole of China, it is NOT limited to Guangxi and Yunnan provinces only). I hereby certify that the information provided in this application is true and correct. I understand that providing false or misleading information will disqualify me from appointment, or if appointed, will render me liable to dismissal from the program.
	Sign		Date
			25 December 2010

Zaw Myint Aung (Myanmar, ppt 3)

Use this form to complete Positive MSM Community Leadership application – please type or print neatly. This form should be completed in English.

The form MUST be signed and scanned and sent as an email to "Nid" thanid@apnplus.org before CBO (5:00 PM Thailand) on 31^st December 2010.

1 - Personal Information

1. Full name of Applicant	Zaw Myint Aung
2. Date of Birth (DD/MM/YYYY)	14 July 1981
3. Country	Myanmar
4. (Organisation affiliated to) optional	Medecins Du Monde
5. Current occupation	Preventive Facilitator
6. Number of years working on MSM or TG activities	2 years
7. Phone and Email address	Phone: 95 1 662 604, 652 658
	Email: phozawippich@gmail.com
8. Highest educational level attained	Bachelor of Economic
9. Current English language proficiency	Reading Basic a Intermediate Advanced Writing Basic aIntermediate Advanced Comprehension Basic a Intermediate Advanced

Please check the following boxes below as it pertains to you.

a) Do you have a valid passport or willing to acquire a passport at your own expense?

*Yesa No

*Please include a copy of the page that has your information and photo on it i.e. expiry date and passport number.

b) Do you need a visa to travel to Bangkok, Thailand where most of the trainings will be held?

Yesa No

2 – Personal Skills and Experiences

Please use this space to detail your skills and experiences in general MSM and HIV intervention activities. For example coordination, peer outreach, edutainment activities and counselling etc.

Maximum of-700 words. DO NOT exceed the space provided

I am currently working as a Preventive Facilitator in Medecins Du Monde. I organize and facilitate activities in Drop In Center, and also participate in Outreach activities. I give health education about HIV/AIDS, STI, TB, Positive Living and Hepatitis to MSM, TG, female sex workers and their partners. I am also one of the members of mobile clinic activity in which we go to our beneficiaries who can’t come to clinic and provide STI treatments and consultation. Some of them are working under pimps and they are not allowed to go to clinic. I also lead weekly MSM support group, focus group discussion and legal counseling session in DIC. I organize monthly Volunteer Peer Education Training and I am also one of the facilitators in the training. Organizing and facilitating in monthly Workshop and monthly Condom Party.

Now, I am also volunteering as an auditor in MSM self help group named Golden Queen. We are running some income generation activities. Our group joined with Myanmar MSM Network for technical advices. We are still under umbrella of MdM. In my country, MSM are discriminated from social environment. So, they are usually hidden, shy and afraid to live openly as they would like to live. I and our group visit their meeting places, befriend with them and try to empower them. We are under process of writing proposal and making a better group right now.

Before I am with MdM, I initiated and lead a Self Help Group named Decorator. The group is composed with youth, and some of them (including me) are HIV positive. We made a network with other NGOs and INGOs to provide capacity building training. After getting trainings, we organized health talks especially about HIV/AIDS in Basic Education High Schools by getting permission from head masters. Beside health talks, we also made quiz contests in order to get effective results. Moreover, we went to places such as Tharyarwaddy, Bago and Mandalay. We organized health talks and drama performance there. In Tharyarwaddy, we have subgroup of Decorator. I visited there every two weeks and discuss about their challenges and need. Then we solved the problems together. We also provided referral services for MSM who are in need of medical services and ARV treatment.

Above are my skills and experiences in HIV intervention activities and MSM activities.

3 – Personal Statement

Please use this space to detail why you think you are suitable for the programme. Maximum of 700 words. DO NOT exceed the space provided

I am a HIV positive MSM who is working in an organization which is working for MSM, TG and male and female sex workers. I am working as a Preventive for activities related with HIV and STI interventions. I would like to do more effective activities for our MSM and TG community. I want to share knowledge about HIV more broadly and want to help for their social problems, and want to fight against stigma and discrimination to MSM community. I want to promote knowledge of gender identity of MSM and TG. I want to work not only for the side of knowledge, and health education but also for their self‐esteem.

If I have a chance to participate in this program, I can become a good leader in MSM

community. My aims are to work my best to fight against stigma and discrimination to MSM and TG in Myanmar and I also want to work to reduce HIV and STI prevalence among MSM and TG in

Myanmar. I am planning to make a self help group which will be working for self‐esteem, health

education and support for MSM and TG, so I am sure that this program will be a big support for my dreams to come true.

4 – Future plan after finishing programme

Please use this space to detail how you would apply the learning and skills gained from the program if you were a successful candidate. Maximum of 700 words. DO NOT exceed the space provided

First of all, I really want to participate in this program on behalf of my friends. If I were a successful candidate, I will be able to work better for promoting the quality of life of MSM and TG in Myanmar. I will conduct many workshops with MSM and TG by using the skills learnt from the program. I believe HIV prevalence will definitely decrease if young MSM can receive sufficient and proper sexual health knowledge, if community accept who we are, and if we know our right and responsibility. Yet, I need to upgrade my knowledge by getting chance to participate in this program.

I will use the learning and skills gained from the program for the benefit of MSM in Myanmar. I will especially focus upon self‐esteem, empowerment and life skills for MSM in Myanmar. Moreover, I will also use my skills and experience for TG, male and female sex workers. I expect to use my skills and experience not only MSM, TG and sex workers in my township, but also wider population over Myanmar. I will work my best for them to be able to build a sustainable self help groups among MSM, TG, male and female sex workers.

I will create my own style and approaches which will be suitable for my community based upon what I will gain from the program. I will also advocate with the community in order to eradicate stigma and discrimination upon MSM and TG. To raise the life style which is safe and fun for TG and MSM is also one of my lists to be done if I were a successful candidate in the program. I hope I can share my skills and experience not only within my organization but also other organizations and networks. Our self help group Golden Queen is in the forming stage, so I hope my experience and skills from the program will be a big help for the group too. I am also dreaming about a website which will be an online drop in center for MSM and TG firstly only from Myanmar and later, I will try to extend regional level.

I am sure that I can become a good leader not only in local level, but also regional and international level who is able to take the lead for the sake of MSM, TG, male and female sex workers.

5 – References

Please list two reference persons (i.e. your past or current employer or focal person of PLHIV national network) we may contact regarding the application.

Name	Mary Anne
Position	Drop In Centre Supervisor
Organisation	Medecins Du Monde
Phone (including dialling code)	95 1 662 604, 652 658
Email	an4ant@gmail.com
How did you know this person	She is my direct supervior.

Name	Hnin Su Mon
Position	Behaviour Change Communication Officer
Organisation	Medecins Du Monde
Phone (including dialling code)	95 1 662 604, 652 658
Email	hninmon@gmail.com
How did you know this person	She is my colleague and trainer.

6 - Signature of applicant

	Please note that the intention of the APN+ MSM Community Leadership Program is to target those young MSM who are HIV positive within the APN+ affiliated country national networks from the GMR (this includes the whole of China, it is NOT limited to Guangxi and Yunnan provinces only). I hereby certify that the information provided in this application is true and correct. I understand that providing false or misleading information will disqualify me from appointment, or if appointed, will render me liable to dismissal from the program.
	Sign		Date
			25 Dec 2010