CERAH – DAS in humanitarian action - session 2015-2016

APPLICATION FORM

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

1st February 2015 if you require a grant and/or an entry visa for Switzerland

1st June 2015 for other candidates

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:

Passport 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:

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)
/ / /
/ / /
/ / /
/ / /
/ / /
/ / /
/ / /
/ / /

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)
/ / /
/ / /
/ / /
/ / /
/ / /
/ / /
/ / /
/ / /

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. CAREER PLAN

Personal statement:

Please give details of why you applied for the programme

Please give details of what you expect to gain from attending the programme (Be specific)

What professional activities do you hope to pursue after completing the course? How are they integrated into your career plan?

4. REGISTRATION

Tuition fees are:

CHF 8’000.— (possibility to pay in several instalments)

Once your application has been accepted, you must pay a deposit of CHF 1,000.--** to confirm your registration. This sum will not be reimbursed if you do not attend the course.

If you meet the entrance requirements and you wish to apply for a grant, please complete the Grant application form.

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.

5. CHECK-LIST

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

Curriculum vitae

Copy of your passport

Copy of the certificate for the highest qualification you have obtained

Evidence of your English language competences (TOEIC / TOEFL or equivalent)

Copies of work certificates from your last two job positions

Contact details for a referee from your current employer who would be willing to be contacted by the selection committee:

Tel: Email: @

Contact details for a referee from your previous employer who would be willing to be contacted by the selection committee:

Tel: Email: @

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 CERAH? (Please tick one box)

1)  CERAH Partners
Médecins Sans Frontières (MSF-Suisse)
NGO Management
International Committee of the Red Cross (ICRC)
Swiss Agency for Development and Cooperation (SDC)
Handicap International
Other, please specify:
2) Internet:
Search engines (Google, Bing, Yahoo, etc.)
Google AdWords
CERAH website, www.cerahgeneve.ch
Email announcement
Other website(s), please specify:
3) Social Networks:
Linkedin
Facebook
Twitter
Other, please specify:
4) Media
Advertisement in newspaper / journal
Articles / publications
Conference / exhibitions / career fair
Faculty presentation
Flyer / poster
5) Recommendation
Employer / work colleague
Professor / lecturer
Training / career advisor
Enquiries at the University of Geneva or Graduate Institute
Alumni
Friend
6) Other
Please specify:

Your application will be processed within two weeks after the deadline (mid-February for grant applicants and/or for applicants who need a visa for Switzerland; mid-June for other students).

Only fully completed applications will be taken into consideration.

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

4/5