GSUM Winter School 2014

APPLICATION FORM

Please submit all materials (including this Application Form) electronically to:

The deadline for applications is: May 15, 2014.

In case of selection, and only when appropriate and manifestly needed, following a case by case analysis, you may also be invited to apply for fee waivers (partial or integral), or for scholarships (partial or integral). In case of selection, we will let you know more about your possibilities regarding fee waivers and scholarships.

Please attach a picture

TITLE:

FULL NAME:

DATE OF BIRTH:CITIZENSHIP:

INSTITUTIONAL AFFILIATION:

ADDRESS FOR CORRESPONDENCE:

IDENTITY (for Brazilians) or PASSPORT NUMBER (for other nationalities):

TELEPHONE:

EMAIL:

Length of course for which you are applying

I am applying:

Only for the first week (July 28TH - August 1ST)

Only for the second week (August 04TH - August 08TH)

For both weeks (July 28TH – August 08th)

Optional Courses – First Week

List your order of preference:

Mediation as Reflective Practice

A New Global South Model for Mediating Urban Gang Violence

The Global South’s role in promoting Legitimate and Inclusive Just Peace

Optional Courses – Second Week

List your order of preference:

Culture and Mediation Practice

Insight Mediation

Creative and Participatory Approaches to Peacebuilding

Financial Support

Do you need financial support in order to attend the GSUM Winter School 2014?

No, I do not need financial support.

Yes, I need financial support.

In case you answered ‘yes’ to the question above, and, hence, need financial support, what kind of financial support do you need?

Full Scholarship (for students attending only one week of the Winter School)

Partial Scholarship (for travel; or for residence/living expenses)

Full fee waiver for one week

Partial fee waiver for one week

In case you are accepted, but do not receive financial support, are you able to finance and pay for your travel to Rio de Janeiro, Brazil, as well as for your residence/living expenses and the appropriate fees?

Yes, I am able to finance and pay for all these costs.

No, unfortunately, I am not able to finance and pay for these costs.

Required Supporting Documentation

The completed Application Form

Curriculum Vitae (in English). In case of selection, copy of diplomas and/or degree certificates may be asked, as well as proof of English proficiency (such as, for instance, Diplomas, TOEFL, IELTS, or Cambridge).

Copy of Identity (for Brazilians) or Passport (for other nationalities).

Motivation Letter (maximum 800 words). Your motivation letter should be one to two pages long (max. 800 words). You should elaborate on why this school is important to you, how relevant it would be to help you fulfill your goals, and how it relates to your current studies and/or employment.

01 (one) Letter of Recommendation. You should submit one letter of recommendation, in which the referee should give information regarding your character, intellectual ability, and seriousness of purpose. The letter should come from your professor, lecturer and/or employer (if applicable), and it must include contact information.

Selection Criteria

  • Relevance of the applicant’spractical experience and/or academic expertise to the Unit´s project and activities;
  • Potential for engagement with GSUM,and for relevant participation in the GSUM Winter School activities; and
  • The contribution of the GSUM Winter School to his or her present and future career and professional and/or academic plans (as stated in the Motivation Letter).

Place: Date:

Full name:

Signature: