Geneva for Human Rights – Global Training ProgrammeGSC-40-3 1

Application form for the Geneva Course – GSC-40 (25 February – 10 March 2017)

Training course for defenders from the regions

‘Course on the Human Rights Council, international human rights

and humanitarian law, international procedures and diplomacy’

Geneva Course GSC-40 (25 February – 10 March 2017)

APPLICATION FORM

Candidates should be actively involved in human rights NGOs or coalitions, preferably in the regions. For Geneva for Human Rights– Global Training’ (GHR) working for human rights also includes working with non-discrimination and equality, development and social justice.

The official language of the Course is English.GHR therefore request from the candidates to speak and write in English.

The information provided by the applicant is strictly confidential and shall be used by GHR only in the selection process and for the preparation of the Course.

1. YOUR DATA

( ) male ( ) female

First name (family name as in passport): ______

Second name: ______

Profession: ______

Name human rights organisation: ______

Function in the organisation: ______

Professional address: ______

______

Phone (professional):______Fax (professional): ______

Private address: ______

______

Private phone:______Mobile: ______

E-mail(s): ______

Date and place of birth: ______

Nationality: ______Passport Number: ______

Issued by: ______Date of expiry: ______

  • Do you require a visa for Switzerland ?( ) yes ( ) no
  • Indicate the embassy and its address to which the visa application needs to be sent:

2. YOUR MOTIVATION AND COMMITMENT

2.1.What is your educational background? Did you already participate in any other human rights course or training ?

2.2.Describe your involvement in the promotion and protection of human rights,( in your country, in your organisation, in networks and coalitions).

2.3.Is your work focused on specific issues /topics (such as women’s rights or civil and political rights) ?

2.4.What do you expect from this Course? What are your priorities for your work at home?

2.5.Have you already obtained, the necessary financial support to cover the costs of the Course in Geneva from a donor /sponsor? If not what is your plan to cover the costs?

Date and place: ______

Applicant’s Signature:

Please return this form, with a recommendation from your organisation (or donor) and a photocopy of your passport at latest on10 February 2017)to:

‘Geneva for Human Rights – Global Training’

The Administrator of the Geneva Courses

E-mails: ; & ;

tel. (41-22) 320.27.27 & (41-22) 340.37.78 & (41-79) 345.82.00

Please, don’t wait until the last moment, and note that obtaining a Schengen visa takes at least one month.

gdh-ghr.11.2016