International Observer Participant Questionnaire

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International Observer Questionnaire:

Biological Data:

  • Name:
  • Address
  • Gender
  • Religion
  • Telephone Number
  • Email
  • Website/blog
  • Nationality
  • Are you a dual national or in the process of acquiring an additional nationality?  If so please detail

Are you affiliated with Occupy Wall Street or other Occupations? Please detail any committees attend and why you became involved in the movement?

What working group or caucus is nominating you?

Why do you think your committee chose you?

Are you available over the next week

What is your understanding of the risk associated with this trip?

Are you comfortable representing the occupy movement to a global movement?

Please estimate your level of experience in the following areas on a scale of 1 to 5:

Election Monitoring

Human Rights Observation / law

Movement Building

Mediation / Non-violent Communication

Direct Action

Media / PR

First aid/ Medical

IT/ Technical Support

Spoken Arabic

Written Arabic

Other languages – (specify)

Short Questions:

Please briefly describe your experience in the Middle East or with Middle Eastern Culture?

Please describe your experience protesting in high risk situations?

How comfortable are you adapting to new cultural contexts –particularly those that is at odds with your culture or values?  Including changes in dress, action, or speech?

Ego aside?

Please describe any experience you have dealing with the media and in particular the global media?

Do you have any skills or talents that could be shared across movements?

By initialing here I am confirming that I am physically fit enough to withstand the rigors (long hours, walking, running..etc) of an extended monitoring campaign.

By initialing here I confirm my commitment to put aside individual political agendas and to participate in this monitoring effort with humility, patience, and cultural sensitivity.

Acknowledgement of risk: By signing here I am confirming that I understand and accept the risks associated with volunteering to serve as an international monitor in the November 28th, 2011 Egyptian elections.



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