THE WORLD BANK

Donor Funded Staffing Program (DFSP)

APPLICATION FORM

Type or print legibly in English.

IMPORTANT: Please fill in all the fields. If a question does not apply to you, enter N/A (not applicable).

Please underline:

Do you agree that your application be considered for other positions? YesNo

2. EDUCATION HISTORY

School
(please start with University or equivalent) / From – To
(MM/YY) / Degrees/Diplomas received / Main Fields of Study
Please indicate Ph.D dissertation topic

Please underline:

Completed? YesNoIf no, expected completion date: ______

Ph.D. fields of specialization
M.A. thesis topic or field of specialization

3. EMPLOYMENT HISTORY

List below every employment (private and public, including military) since you began to work. If you have served in more than one position for an employer, show employment progression for that employer. In describing your employment, please indicate whether your employer is the focal agency dealing with Bank or other donors’ programs and projects as a key activity. Also please describe your familiarity with Bank operations, lending instruments, project cycle and other aspects of Bank’s activities.

Current/Last Position
Name of organization / Position/Title / Dates of service
Describe concisely: (1) duties; (2) scope of responsibilities; and (3) major accomplishments
Previous Position
Name of organization / Position/Title / Dates of service
Describe concisely: (1) duties; (2) scope of responsibilities; and (3) major accomplishments
Previous Position
Name of organization / Position/Title / Dates of service
Describe concisely: (1) duties; (2) scope of responsibilities; and (3) major accomplishments
Previous Position
Name of organization / Position/Title / Dates of service
Describe concisely: (1) duties; (2) scope of responsibilities; and (3) major accomplishments
Previous Position
Name of organization / Position/Title / Dates of service
Describe concisely: (1) duties; (2) scope of responsibilities; and (3) major accomplishments
Previous Position
Name of organization / Position/Title / Dates of service
Describe concisely: (1) duties; (2) scope of responsibilities; and (3) major accomplishments
Previous Position
Name of organization / Position/Title / Dates of service
Describe concisely: (1) duties; (2) scope of responsibilities; and (3) major accomplishments
Previous Position
Name of organization / Position/Title / Dates of service
Describe concisely: (1) duties; (2) scope of responsibilities; and (3) major accomplishments

Your area of expertise (mark more than one, if applicable):

Human Development
Health, nutrition, population
Education
Social protection (Labor Markets, Pensions, Social Assistance)
Poverty Reduction and Economic Management
Economic policy
Public sector
Poverty
Gender
Finance and Private Sector Development
Financial sector
Private sector development
Environment and Socially Sustainable Development
Environment
Social Development
Agriculture and rural development
Infrastructure Development
Water and sanitation
Transport
Energy and mining
Urban infrastructure

Others (please list):______

______

4. LANGUAGE SKILLS

Language
(List native tongue(s) first) / Reading
Excellent/Good/Fair / Writing
Excellent/Good/Fair / Speaking
Excellent/Good/Fair

5. COMPUTER SKILLS

List computer software with which you are familiar

6. HONORS/PUBLICATIONS/PROFESSIONAL LICENSES

List scholastic honors, professional societies and activities in civic, public or international affairs and any professional licenses

Please underline:

7. Are you or have you been employed by the World Bank Group?Yes No

If yes, list the position title and dates: ______

8. TRAINING/CONFERENCES

List all World Bank or other related training/seminars/conferences which you attended. Please provide places and dates.

9. List family members and/or relatives who are or have been employed by the World Bank Group.

Name / Relationship
Date / Signature

Page 1 of 5