I. Instructions for CANDIDATES

The application consists of 11 pages. Page 2 is to be completed by the nominating organization. Pages 3-11 are to be completed by the nominating organization’s candidate in block letters. The candidate is to sign pages 10 and 11.

Only original applications will be considered for selection.

The Open World Program is the only U.S. government exchange in the legislative branch of government and is funded by the U.S. Congress. No payment is needed for processing the application or visa. The program provides the delegate with meals and local transportation in Washington, DC, all meals, lodging, and local transportation in the U.S. host community at no cost to the delegate.

Application Instructions:

The application should be completed clearly in block letters. PLEASE ANSWER ALL QUESTIONS. If you are unable to answer a question, please enter “not applicable” or a dash.
All telephone numbers are to be given with area codes assuming that you will be receiving calls from Cairo and/or America.
The contact address should be a permanent, reliable one, either for home, work, or relatives where delivery is guaranteed
All dates are to be given in the order: day/month/year.
It is important that you include all information regarding your passport. It would be best to provide a photocopy of the passport information. The lack of a passport may affect your selection for the program if there are strict time restraints. If you will be getting a new passport, please provide us with the new information as soon as possible.
In describing your primary employment, please describe your organization and your duties and responsibilities.
PLEASE DO NOT ABBREVIATE.
Do tell us if you have ever visited the United States before.
Your answer on page 11 regarding your program goals is very important in the selection process and in tailoring the program to your needs and interests.
You may find additional information about the Open World Program in English on our website: www.openworld.gov

Last name, first name, middle name______

To be completed by the NOMINATING ORGANIZATION

Name and Position Title of Nominator / Nominating Organization / Who provided you with the application?
Telephone Number: телефона: / Additional Tel. No.:
Fax Number: / E-mail Address:
I nominate (Name)
Recommendation.
Your recommendation is vital to the Selection Committee to understand your relationship to the candidate and the candidate’s qualities. Please explain why, in your opinion, the named candidate should participate in the Open World Program and how the nominee will benefit from the experience.
What are the candidate’s accomplishments in sustainable urban development and how do you envision the candidate to advance in this field after the program?

______

Nominator’s SignatureDate

Тheme: Rule of Law

To be completed by the CANDIDATE

Last Name:
First and Middle Name:
Date of Birth: / Day / Month / Year
1. PLACE OF PERMANENT RESIDENCE (AS INDICATED IN PASSPORT)
Region: / Code:
City: / County:
Street Address:
2. CONTACT MAILING ADDRESS
Region: / Code:
City: / County:
Street Address:
Name of Contact, Company, Organization:
3. CONTACT INFORMATION
Home Telephone No. (with area code): / Fax (with area code):
Cell Phone No. (with area code): / Other Number:
E-mail Address No. 1: / E-mail Address No. 2:
SKYPE: / Website:
4. PASSPORT INFORMATION
Passport Series and No.:
Issuer and Date of Issuance:
5. ADDITIONAL PASSPORT INFORMATION
(Please include a photocopy of your passport.)

Last name and First Name as it appears in the Passport in Latin script:

/ /

Gender:

М F

Passport No.: / Ser. / № / Expiration Date:

Citizenship: Turkish Other (please explain)

Are you a resident of another country?

PLACE OF BIRTH AS IT APPEARS IN YOUR PASSPORT
Place of Birth: / Country of Birth:
Do you have a Taxpayer Identification Number in Turkey? / Number:
Do you have a U.S. Individual Taxpayer Identification Number/ITIN? / Number:
Do you have a U.S. Social Security Number/SSN? / Number:
Do you have a U.S. Employer Identification Number/EIN? / Number:
Please list other names you may go by (for example: maiden name) / Marital Status:
single
married
divorced
widowed
6. PRIMARY OCCUPATION, starting with current position
(Please do not use abbreviations)
Work Phone Number (with area code): / Work Phone Number No. 2 (with area code):
A) Current Position
Starting Date – (month/year) - Current Position
Place of Primary Employment: / Responsibilities:
Your Employer’s Website Address:
B) Previous Place of Employment
Starting Date – Ending Date (month/year – month/year):
Place of Primary Employment: / Responsibilities:
CC) Earlier Place of Employment
Starting Date – Ending Date (month/year – month/year):
Place of Primary Employment: / Responsibilities:
7. INFORMATION ON CURRENT PROFESSIONAL ACTIVITIES
(Answers to the following questions will clarify information on your professional work and be useful to the local host coordinator in planning your program agenda.)
In one sentence describe your work:
List the Responsibilities of Your Immediate Supervisor:

Last name, first name, middle name______

8. CURRENT CIVIC ACTIVITIES
(for example: judicial council, school council, civic organization, etc. Do not abbreviate.)
Name of organization: / Responsibilities: / Start date (month/year): / Number of hours per month: / Is this a volunteer position unrelated to your primary work?
1. / Yes
No
2. / Yes
No
9. CURRENT WORK AS TEACHER/TRAINER
(not to be completed if your primary work is teaching or training)
Name of organization: / Responsibilities: / Start date (month/year): / Number of hours per month: / Is this a volunteer position unrelated to your primary work?
1. / Yes
No
2. / Yes
No

CURRENT POLITICAL ACTIVITIES

(Please do not abbreviate.)
Name of political party/movement: / Responsibility: / Start date (month/year): / Number of hours per month: / Is this a volunteer position unrelated to your primary work?
Да
Нет
11. PARTICIPATION IN ELECTIONS
(Please do not abbreviate.)
Candidate at which level? / Election date (month/year): / Were you elected? / If no, do you plan to run again?
Federal
Regional
Municipal / Yes
No / Yes
No
Federal
Regional
Municipal / Yes
No
Federal
Regional
Municipal / Yes
No
12. EDUCATION, PUBLICATIONS, GRANTS, and PRESENTATIONS
(Please do not abbreviate.)
Level of Education: no high school diploma
high school diploma
vocational
some college
college/university degree
graduate/post-graduate degree
doctorate / Knowledge of English (This is not a selection criterium. Level of English is used in matching delegates to host families).
none
few words
basic conversation
advanced conversation
fluent / Please list the languages that you do speak:
______
______
______
Name of university and your major subject/degree:
Name of institution of higher learning that you attended for 2 years or more and major subject:
List your last three publications (books, articles, radio or TV interviews): / Place of publication, publisher, name of media outlet: / Date of publication or broadcast:
1.
2.
3.
General number of publications:
Received grants:
List your top three projects supported by grants / Who provided the grant? / Amount in US dollars: / Year grant received:
1.
2.
3.
Conference presentations:
Conference theme / Country / Topic of presentation / Name of conference organizer / Year
1.
2.
3.
Awards, certificates, honors: / Name / Year
1.
2.
3.

13. PERSONAL INFORMATION

(Please do not abbreviate.)

Emergency contact telephone number in Turkey: / Last name/First name/Middle name of emergency contact:
Religious preference (optional): / Are you interested in attending a church service with your host family? Yes No
Do you smoke? Yes No
Are you a vegetarian? Are there foods that you prefer not to eat? If so, please list them.
Do you have food allergies? If so, please list them.
Do you object to pets (dogs and cats) in the host home?
If you are allergic to pets, please list the types of allergies.
Medical information about your physical health. This information will not influence the selection process. Please list any physical limitations, allergies, conditions that require medication. The information you provide is confidential and will be shared with your host family and with medical personnel in case of an emergency.
Last name, first name, middle name of your spouse:

How many children do you have?

number of sons and their ages:______number of daughters and their ages:______
Please list your hobbies and interests (for example: playing the guitar, swimming, hiking, etc.)

INFORMATION ON FOREIGN TRAVEL

(Please do not abbreviate.)
Have you been to the USA before? Yes No

If yes, please give dates, type of visa and purpose of travel

From

To

Type/class

/ Purpose of travel(tourism, business, conference, education, other)
Month / Year / Month / Year

List the countries you visited in the last 10 years:

Name of country

/ / Purpose of travel (tourism, business, conference, education, other)
Have you participated in a United States Government sponsored exchange program before?
Yes No
(if yes, list name of program and dates):
15. JOINT PROJECTS WITH AMERICAN ORGANIZATIONS
Have you participated in a professional or other joint project with American governmental, private, or non-profit organizations? Yes, I am currently involved in a project
Yes, I have participated in the past
No
If you have answered “yes,” then please describe the project in 2-3 sentences.
16. ESSAY (not more than 10 sentences)
(Dear Candidate! Your answer will be read by the selection committee and may determine your participation in the program. If selected, the local host coordinator will use this information to tailor the community program for you.)
Please tell us about the major focus of your work. What are your program goals and what knowledge and experience do you expect to receive from the program?

Please read through the page and then number at least five boxes of listed topics that are of interest to you in the order of interest from “1” as the most important to “5” as the least important.

General

Meetings with judicial employees, judicial officials and members of private law firms
Comparison of the American and Egyptian court systems
Establishing professional and personal contacts
Meetings with representatives from the executive and
legislative branches of government

Juvenile Justice

Judicial procedures
Punishment
Law enforcement agencies
Correctional facilities
Children’s rights and public policy
Juvenile courts and their reform
Therapeutic/Troubled Teen Boarding Schools
Forms of punishment
Legal advice to prisoners
Capital punishment
Prison terms
Correctional institution
Fraud protection
Courts, Litigation and Advocacy Activities
Politics and the judiciary
Procedures for photographing and videotaping trials
Relations between courts and the media
Financing courts
Legal, human rights, and civic organizations for the prevention of crimes motivated by racism and sexism
Rights of the accused
Adversarial prosecution and defense in criminal proceedings
Use of testimony and evidence in the investigative process
Protection of human rights
Witness protection program
Selection of judges
Jury selection
How to prepare a jury
Functions and duties of a juror
Responsibilities of the presiding judge
Procedural issues
Difference between grand jury and jury / Grant of Parole
Parole board
Procedures for parole
Parole supervision duties
Traffic Police
Enforcement
Methods
Training
Legislation
Democratic foundation
Interaction with the Executive Branch
Distribution of powers
Law
Criminal law
Civil law
Adoption law
Family law
Tax law
Trade law
Labor law
International law
Constitutional law
Environmental law
Miscellanea
Election procedures
Legal education
Professional development
Civic association
Volunteer groups
Out of court settlement
Judicial reform
Lobbying groups
Responsibilities of jurists and lawyers
Bar associations
Other:

I certify that the information provided in this application is authentic. I understand that final approval of my candidacy for the program depends on the availability of and compliance with the conditions of my J-1 visa for participants of exchange programs. In accordance with the terms of the J-1 visa, I promise to return to Turkey after finishing the program.

I am aware that the Open World Program is the only exchange program within the legislative branch of the United States government and receives annual funding from the U.S. Congress, and therefore, the nomination and participation in the

program does not imply any financial cost to the participants.

______

SignatureDate

______

Last Name, First Name, Middle Name

Open World Leadership Center Policy on Candidate and Program Participant Information

Candidate and program participant information is essential to the Open World Leadership Center to conduct the program, assess program quality and effectiveness, and to develop new related projects.

The Open World Leadership Center strictly adheres to principles of confidentiality of information received from candidates and program participants, and the information will be used according to the provisions set forth in this document. Key providions of this document are valid only for the Open World Leadership Center. Other organizations involved in the administration of the program may adhere to this or a similar policy on candidate and program participant information.

1. Content and means of collecting information

The content of candidate and program participant information consists of facts received in completed applications, interviews, program participation and administration. This information may include personal information such as contact data and data on education, professional experience and employer organization.

The specified information is retained by the Open World Leadership Center in written and electronic formats. Some information, such as contact data, is updated in order for Center representatives to maintain contact with participants. This will allow participants to receive additional information about new programs and projects, and also to evaluate the effectiveness of programs sponsored by the Center.

Use of information

The information is used:

In the selection committee’s consideration of candidates to participate in the program
In selecting an appropriate host family for the participant
To evaluate the effectiveness of your participation in the program in accordance with rules established by the program
To alert alumni in a timely manner to upcoming events, programs, and projects in which they are eligible to participate
When collecting data to assess the effectiveness of programs
To provide networking opportunities for alumni of all U.S. government sponsored programs
To provide alumni with opportunities for professional development by sharing their information with non-profit organizations.

Information about individuals, candidates and program participants may also be used by the Open World Leadership Center, donors or authorized representatives for statistical and evaluative program research. Data analyzed for this purpose may be published only as statistical data. Personal data is not published. The exception is that information is shared with organizations that host for the program and with organizations that provide professional development opportunities, small grants, programs, and events for alumni. Materials provided by participants and alumni directly to the Center may also be published unless the Center is told explicitly not to publish these items.

By signing this document, you are consenting to the collection, use, storage, and dissemination of information about you in accordance with the terms set forth above.

______

SignatureLast Name, First Name, Middle Name Date