CERAH – TS in humanitarian action - session 2013-2014

APPLICATION FORM

A completed electronic version of this form together with the documents required for your application must be sent to by:

INCOMPLETE APPLICATIONS OR THOSE WITH ERRONEOUS INFORMATION WILL NOT BE TAKEN INTO CONSIDERATION.

1. PERSONAL INFORMATION

Ms Mr

Family name:

First name

Date of birth (day/month/year)://

Nationality:

Profession:

AVS number (for those who work in Switzerland): 756. ..

Have you already graduated from a Swiss university: yes no

If yes: N° SUIS:

Passeport number:

Do you need a visa? yes no
(the procedure for visa application is your responsibility)

Private address:

Address:

Postal code: Town/City: Country:

Telephone:

Email: @

Contact addresses:

Postal address : private work (tick only one box)

Email: private work (tick only one box)

Work situation:

Are you currently employed:

Yes , % working time No , because

Name of employer:

Sector :

Size of organisation/company

Function:

Position in hierarchy:

Address:

Postal code: Town/City: Country:

Telephone:

Email :@

2. QUALIFICATIONS

Final level of education:

Apprenticeship Technical secondary (3/4 year) Upper secondary/College University

Highest qualification obtained:

Continuing education experience:

None Nb courses < 8 h Nb courses < 8 h No. Credited courses

Academic (University) qualifications:

Please give details of any additional academic or other qualifications

Name of College/University / Start date (month/year) / End date (month/year) / Qualifications / Subject(s)
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Professional qualifications:

Please give details of any additional professional or other qualifications

Name of Institution / Organisation / Start date (month/year) / End date (month/year) / Qualifications / Subject(s)
/ / /
/ / /
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Employment history: (in particular related to humanitarian action or development)

Position held / Dates / Employer & Country / Brief description of responsibilities

English language qualifications:

Mother tongue / Speaking / Reading / Writing
Excel. / Good / Weak / Excel. / Good / Weak / Excel. / Good / Weak
English

Evidence of English level:

Qualifications / Score / Date taken
IELTS
TOEFL
TOIC
Other evidence of English competency:

A certificate of competency in English is required (TOEIC/TOEFL or equivalent) for applicants who are not native English speakers.

3. APPLICATION

Please specify which course you want to take:

I wish to take:

Advocacy for Humanitarian Projects in Health

Project Cycle Management

Management, Leadership and Coaching

Team Management

Values, Ethics, Dilemmas in Humanitarian Action

Intercultural and Anthropological Aspects of Humanitarian Action

Communication and Negotiation in Humanitarian Settings

Designing an Advocacy Strategy

4. CAREER PLAN

Personal statement:

Please give details of why you applied for this programme (5 lines)

Please give details of what you expect to gain from attending this programme (5 lines)

5. REGISTRATION

Tuition fees are:

THEMATIC SEMINAR: CHF 1’500.--

Once your application has been accepted, you must pay a deposit of CHF 500.--** to confirm your registration. This sum will not be reimbursed if you do not attend the course.

Do you apply for a cantonal training subsidy in the Office pour l’orientation, la formation professionnelle et continue (OFPC)? yes no

** The deposit will be deducted from the tuition fee.

7. CHECK-LIST

The following documents must be attached to your application form, to be submitted by e-mail:

Curriculum vitae

A digital portrait photo (.jpg)

N.B.Members of the selection committee reserve the right to contact your referees during the selection process.

How did you first learn about these seminars? (Please tick one box)

Partner of CERAH: which one?

Médecins Sans Frontières (MSF-Suisse)

NGO Management

International Committee of the Red Cross (ICRC)

Swiss Agency for Development and Cooperation (SDC)

My organisation/company

Personal recommendation

E-mail announcing the course

During an event (conference/exhibition/careers fair):

Flyer / poster

Advertisement in a newspaper/journal:

Training/career adviser

Enquiries at the University of Geneva

Website www.cerahgeneve.ch

Social network

Other website: which one:

Other:

I have read the present document and I am aware of the entrance requirements for the TS in humanitarian action offered by CERAH. I confirm that the information provided is accurate.
Name: First Name:
Place: Date:

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