Completing your application
- Read the instructions on the form carefully as you complete your application.
- Please provide the documents in the checklist below.
- Please return completed application form with all documents in the CHK list below to our officeby emailbefore July31, 2015
Eco-Peace Leadership Center
College of Forest & Environmental Science 1sr Building #109
Kangwon National University
Hyojadong, Chuncheonsi
Kangwondo(zip code 200-701), Republic of Korea
Tel: 82-33-257-7129
Fax: 82-33-257-7130
Email:
APPLICATION DEADLINE:31 July, 2015
※If you require assistance please feel free to contact us via email:
Document Checklist (Please pick if provided)
1. Application Form / 2. Project Plan Form /
3. Project Manager’s Information Form /
4. Registration /
Note: * Electronic/scanned copies of documents are sufficient for the application
* Please try to merge all files into one when submitting
For inquiries and further information, please feel free to contact us or visit the following URL:
- Application Form for9thEPLC Leadership Program
Name of
Organization / Representative’s Name
Project Title
Field to Apply / Education & Training / Campaign
& Raising Awareness / Direct work / Research
Climate Change
Disasters and Conflicts
Ecosystem Management
Environmental Governance
Harmful Substances
& Hazardous Waste
Resource Efficiency-SustainableConsumption
& Production
Please Check (○) Inside of Brackets
Organization
Address / Country
Address
Phone / (National Code) / Mobile Phone
Email / Fax / (National Code)
Website /
Project Manager / Position / Name
Number of
Membership / Number of staff / Executives:
Staff:
Organization’s Bank Account Information
I here affirm that all the information in this form is true and correct.
Date:
Representative's signature:
- Project Plan Form
Project Title
Organization
Location / Area /
Where is the projectsite? (Nation/ City / etc.)
Target Group /(how many people to join)
I. Introduction
1. Background:
Explain why youcarry out yourproject
2. Objectives:
Describe the objective clearly
II. Contents:
Describe in detail what to do in yourproject
III.Methods:
Explain in detail how to do for your project.
IV.Expected Effects:
What Kind of effects is expected from your project in terms of economic, political orsocial effects?
V. Beneficiary:
Who will get the benefit from your project? Andhow?
VI.Detailed Project Plan
Activities / Time / Place / Indicators / Mean of VerificationVII. ProjectTime Schedule
Activities / Schedule / RemarksOct / Nov / Dec / Jan / Feb / Mar / Apr / May / Jun / Jul / Aug
VIII. Budget in USD
No / Description/Activities / Unit / Unit Price(USD) / Amount(USD)Total / USD
※Total Budget cannot exceed 2,000 USD and overhead cannot exceed 10% of total budget either. Please write down carefully and in detail according to the particulars above, since the evaluation will be deeply affected on how clear and intensive are your activity plan and budget plan also.
Note:Project plan form need to be filled out within 10 pages.
- Project Manager’s InformationForm for EPLC Leadership Program
Passport sized photo / Name:
Nationality: / Sex: Female Male
Passport No.:
Date of Birth: / Place of Birth:
TEL(Home) : / E-mail:
Mobile :
Correspondent Address : / Permanent Address :
Main Educational Background
Main Career
Proficiency of English
Please present the evidence for your English ability, like TOEFL or TOEIC score, etc.
I here affirm that all the information in this form is true and correct.
I shall abide by the Korean laws and the regulations of Eco-PeaceLeadershipCenter.
Date:
Project Manager’s Signature: