TRAINEESHIP[1]APPLICATION FORM

1. Surname:First name:Second Name:Maiden name, if applicable:

2. Place of birth:Date of birth:Nationality at birth:Present nationality:

3. Permanent address: Telephone no:

4. Address for correspondence and E-mail address until start of training period:Telephone no:

5. Higher education (please give exact dates):

Name and location of University / from (m/y) / to (m/y) / Diplomas or degrees obtained / Main subjects

6. Knowledge of languages *

[Indicate your mother tongue and level of knowledge of other languages.

Please use the following self-assessment scale (*)]

Mother tongue(s)
Other language(s)
Self-assessment
European level (*) / Understanding / Speaking / Writing
Listening / Reading / Spoken interaction / Spoken production
(*) Common European Framework of Reference for Languages

7. Qualifications in one or more areas related to the activities of the CPVO (optional):

8.1. Theoretical study in one or more areas related to the activities of the CPVO.

Type (specialised study, dissertation, thesis, article) / Title / Year / Details

8.2. Previous employment and in-service-training periods related to the activities of the CPVO (including in EU institutions):

Employer's name / from (m/y) / to (m/y) / Nature of work

9. Other previous employment, internships or training:

Employer's/Institute’s name / from (m/y) / to (m/y) / Nature of work/Training

10. Knowledge of software (word processing, database, spreadsheets, Internet, etc.):

11. Indication of traineeship period:

1st Option: Please indicate duration and/or dates:
a)  Duration:
b)  Preferred Dates: / 2nd Option:

12. References: Please give the names and addresses of TWO persons to whom you are not related and who are able to give a character of reference and who know your qualifications:

Full name / Full address (telephone number or e-mail if known) / Activity or profession

13. How did you learn about this traineeship?

Applicants are reminded that the application for a traineeship (application form, motivation letter & CV) should be submitted by e-mail only

and must be addressed to: before the deadline indicated in the advertisement.

I, the undersigned, declare that the information provided above, is, to my knowledge, true and complete. I realize that any false statement or omission, even if unintended on my part, may lead to the cancellation of my application or my traineeship period.

(Date) (Signature[2])

Data Protection Notice:

Please be informed that during the selection procedure, the personal data contained in the applications will only be used for the purposes intended for i.e. to evaluate the eligibility, suitability and merits for the appointment of the candidates concerned. Personal data is not used for any other purpose and shall not be transmitted to any other person or body other than those identified in the selection procedure. Upon conclusion of the selection procedure, all personal data contained in the application forms shall be destroyed 24 months after the date of decision of the President appointing the successful candidate.

[1] traineeship for a period of 6 months

[2]Signature can be written electronicallye.g. Mr John Smith