Application form
[If completing electronically, TAB between fields]
Position detailsPosition applied for
/Closing date
Personal detailsFamily name
/First names
Postal address
Street address
Telephone (office)
Telephone (mobile)
/Telephone (home)
Citizenship
LanguagesMother tongue
Language
Proficiency*
/Read
/Write
/Speak
/Under-stand
Language
Proficiency*
/Read
/Write
/Speak
/Under-stand
* Basic, Intermediate or Advanced.Relevant experience
Summary
Application form, Continued
Employment detailsCurrent Employer
/Period
Position
Description of duties
Employer
/Period
Position
Description of duties
Employer
/Period
Position
Description of duties
Employer
/Period
Position
Description of duties
Employer
/Period
Position
Description of duties
Education/training detailsInstitute attended
/Location
Period
/Qualification
Institute attended
/Location
Period
/Qualification
Institute attended
/Location
Period
/Qualification
Application form, Continued
RefereesPlease identify three referees that we may contact. At least one, or preferably two, should be a previous employer. Please provide contact details for each referee. (Please note referees will not be contacted without permission)
Referee name
/Designation
Contact address
/Telephone No.
Relationship
Referee name
/Designation
Contact address
/Telephone No.
Relationship
Referee name
/Designation
Contact address
/Telephone No.
Relationship
Other informationDo you have a permit to live and work in Switzerland? If so, please provide details
Do you have a current Swiss category B Drivers Licence? If no, what type of driving license do you have?
Do you have any medical condition or injury that may affect your ability to effectively carry out the tasks and functions of the position applied for?
Have you ever been convicted of a criminal offence? If so, please provide details.
Prior to taking up an appointment with World ORT IC you will be required to undergo a security vetting process, which involves police and credit checks. Do you have any reservations about these requirements?
Interview arrangementsApplicants wishing to have supporters present at interviews or who have any particular needs in the interview setting, perhaps because of a disability, are asked to advise World ORT IC prior to the interview so that arrangements can be made.
Application form, Continued
DeclarationI certify that the information provided is true and correct. I understand that if I have given incorrect or misleading information or if I have omitted any important information I may be disqualified from appointment, or if appointed be liable to be dismissed.
Applicant name/signature
/Date
Privacy statementThe information you have provided will be treated in confidence. Personal information is required only for the purpose of assessing your application.
Please complete all sections of this form and return it to:
World ORT International Cooperation
1, Rue de Varembé
1202 Geneva
Switzerland
Email:
Tel: +41 22919.42.34
Fax: +41 22919.42.39
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