Personal History Form

This form allows you to apply or express interest for Field positions in the General Service and National Professional
categories, for Temporary Appointments in the Professional category, or for working under one of the affiliate schemes
(UNOPS, Individual consultant or contractor, deployee, secondee, etc.).

Please complete the form carefully, answering all mandatory sections fully and as completely as possible.

Your Personal History Form will be reviewed in the near future, and you will be contacted if you are short-listed for an
interview.
Note: Please do not contact UNHCR directly regarding the status of this application.

If you need assistance in completing this form, please contact UNHCR via the email address provided in the vacancy notice or
liaise with your nearest UNHCR Office.

1. GENERAL INFORMATION (Mandatory to complete)

Last Name      
Middle Name       Maiden Name      
First Name      
2. PERSONAL INFORMATION (Mandatory to complete)
Date of Birth (dd/mm/yyyy)       Gender Male Female No Selection
Marital Status
Married Single Divorced Common Law Registered Partnership
Separated Widowed
3. CONTACT INFORMATION (Mandatory to complete)
Current Address
Address      
City      
Postal Code       Country      

Permanent Address
Address      
City      
Postal Code       Country      

Preferred Contact Method Email Phone Post Mail

4. PHONE NUMBERS (Mandatory to complete)
Type Country Code Telephone # Ext. Indicate which is Preferred
Home               
Business               
Mobile               
5. EMAIL ADDRESSES (Mandatory to complete)
Type Email Address Indicate which is Preferred
Home      
Business      
6. NATIONALITY INFORMATION (Mandatory to complete)
NATIONALITY INFORMATION Please list all COUNTRIES as applicable
Nationalities at Birth      
Current Nationalities      
Permanent Residency      

Print Date: 17 June 2018 Page 1 of 9

7. LETTER OF INTEREST (Mandatory to complete if applying for a specific vacancy announcement)
Please indicate the position you are applying for      
Please answer the following questions.
1. How have your achievements and operational experience to date prepared you for this position?
Please refer to the job description and to the essential requirements therein. (1500 characters max)
     

2. Please describe any skills and competencies you have, and which may be of particular relevance to this position.
(1500 characters max)
     

3. How does this position align with your career aspirations? (1000 characters max)
     

Print Date: 17 June 2018 Page 2 of 9

8. WORK EXPERIENCE (Mandatory to complete, if any)
For all work experience, please complete as much information as possible.
Starting with your present position, list in REVERSE ORDER all employment you have had, using a separate block for each
work experience. Also include service in the armed forces. Note any period during which you were not gainfully employed.
Three blocks are provided; if you need more space, attach additional pages ensuring to give the same information requested
here.
Start Date       End Date       Full
(dd/mm/yyyy) (dd/mm/yyyy) Part-Time

Employer       Check if

ongoing
Job Title      
Supervisor Name      
Employee Consultant Intern Self-employed
Type of Employment
UN Volunteer Volunteer Other
If ‘Other’ please explain      
Type of Workers Supervised       # of Persons Supervised     
Supervisor e-mail       Supervisor Phone      
Ending Pay Rate Amount       Currency    
(Annual Net)
Reason for Leaving      
     

Description of duties
(1200 characters max)

Employer Address line 1      

Address line 2      
Address line 3       Postal Code      
City       Country      
Governmental Organization International Organization
Type of Business
Non-Governmental Organization Private Sector Other
Is this UN Experience? Yes No Grade (if applicable)      
UN Index #      
Is this UNHCR experience? Yes No UNHCR MSRP ID      

Contract Type Fixed Term Indefinite Temporary Appointment Other Arrangement

If ‘Other Arrangement’ please indicate the Type of Arrangement
(e.g. UN Volunteer, UNOPS ICA, Individual Consultant, Intern, ICMC, Danish Refugee Council etc.)

Print Date: 17 June 2018 Page 3 of 9

      

Start Date       End Date       Full

(dd/mm/yyyy) (dd/mm/yyyy) Part-Time

Employer       Check if

ongoing
Job Title      
Supervisor Name      
Employee Consultant Intern Self-employed
Type of Employment
UN Volunteer Volunteer Other
If ‘Other’ please explain      
Type of Workers Supervised       # of Persons Supervised     
Supervisor e-mail       Supervisor Phone      
Ending Pay Rate Amount       Currency    
(Annual Net)
Reason for Leaving      
     

Description of duties
(1200 characters max)

Employer Address line 1      

Address line 2      
Address line 3       Postal Code      
City       Country      

Type of Business Governmental Organization International Organization

Non-Governmental Organization Private Sector Other
Is this UN Experience? Yes No Grade (if applicable)      
UN Index #      
Is this UNHCR experience? Yes No UNHCR MSRP ID      
Contract Type Fixed Term Indefinite Temporary Appointment Other Arrangement
If ‘Other Arrangement’ please indicate the Type of Arrangement
(e.g. UN Volunteer, UNOPS ICA, Individual Consultant, Intern, ICMC, Danish Refugee Council etc.)
     

Start Date       End Date       Full

(dd/mm/yyyy) (dd/mm/yyyy) Part-Time

Employer       Check if

ongoing
Job Title      
Supervisor Name      
Employee Consultant Intern Self-employed
Type of Employment
UN Volunteer Volunteer Other
If ‘Other’ please explain      
Type of Workers Supervised       # of Persons Supervised     
Supervisor e-mail       Supervisor Phone      
Ending Pay Rate Amount       Currency    
(Annual Net)
Reason for Leaving      
     

Description of duties
(1200 characters max)

Employer Address line 1      

Address line 2      

Print Date: 17 June 2018 Page 4 of 9

 Address line 3       Postal Code      
City       Country      
Governmental Organization International Organization
Type of Business
Non-Governmental Organization Private Sector Other
Is this UN Experience? Yes No Grade (if applicable)      
UN Index #      
Is this UNHCR experience? Yes No UNHCR MSRP ID      

Contract Type Fixed Term Indefinite Temporary Appointment Other Arrangement

If ‘Other Arrangement’ please indicate the Type of Arrangement
(e.g. UN Volunteer, UNOPS ICA, Individual Consultant, Intern, ICMC, Danish Refugee Council etc.)
     

Print Date: 17 June 2018 Page 5 of 9

9. SPECIALIZED TRAINING (if any)
Course Title      
School Name      
Country      
Course Start Date       End Date      
(dd/mm/yyyy) (dd/mm/yyyy)
Topic area      
Training Methodology Assessment Blended Learning Programme Mobile Resource Material
Webinar Webinar for Blended Learning Workshop
Workshop for Blended Learning Training Video eLearning
Course Description      

Course Title      

School Name      
Country      
Course Start Date End Date      
     
(dd/mm/yyyy) (dd/mm/yyyy)
Topic area      
Training Methodology Assessment Blended Learning Programme Mobile Resource Material
Webinar Webinar for Blended Learning Workshop
Workshop for Blended Learning Training Video eLearning
Course Description      

10. EDUCATION (Mandatory to complete even if you have no formal education; if so, please indicate)
This space provides you with an opportunity to indicate that your academic credential or degree was obtained from an
educational institution that is recognised or sanctioned by a competent national authority, included in the IAU/UNESCO list.
When evaluating academic credentials of applicants, UNHCR is guided by the United Nations Educational, Scientific and
Cultural Organization's (UNESCO) listing (referred to as the "UNESCO list - World Guide to Higher Education (WHED)" ) of
higher education institutions recognized, and to determine the level of university degree conferred on candidates since the
level of degrees is not always consistent across countries.
Please CHECK THE SITE TO CONFIRM YOUR UNIVERSITY IS ACCREDITED. (website - www.whed.net)
Note: You must indicate the main language used for 75% or more of your studies, for each education item you list.
Exact Title of      
Degree/Certificate
Begin Date (dd/mm/yyyy)       End Date (dd/mm/yyyy)      
Main Major or Topic      
Other Majors/Topics of      
Study
Elementary School Completed Some High School High School Graduate
Level Bachelor Masters Degree No Formal Education
Other (please specify in Comments)
Main language of your      
Education Completed? Yes No
studies
School Name      
City       Country      
Comments      

Exact Title of      

Degree/Certificate
Begin Date (dd/mm/yyyy)       End Date (dd/mm/yyyy)      
Main Major or Topic      

Print Date: 17 June 2018 Page 6 of 9

 Other Majors/Topics of      
Study
Elementary School Completed Some High School High School Graduate
Level Bachelor Masters Degree No Formal Education
Other (please specify in Comments)
Main language of your      
Education Completed? Yes No
studies
School Name      
City       Country      
Comments      

11. SKILLS (if any) List skills such as computer or technical programs, or other relevant functional ability.
Level # of Yrs Comments
(Low, Medium,
or High)
Skill                       
Skill                       
Skill                       
Skill                       

12. LANGUAGES (Mandatory to complete)

Indicate your proficiency levels for each language, including for your A1 (beginner) A2 (basic)
Mother Tongue. B1 (pre-intermediate) B2 (intermediate)
Proficiency levels are listed from A1 to C2, and are based on the Common C1 (advanced) C2 (proficient)
European Framework of Reference for Languages; the website is below.
https://www.eui.eu/Documents/ServicesAdmin/LanguageCentre/CEF.pdf
Reading Speaking Writing Listening
Mother Tongue Language                              
2nd Language (if any)                              
(if applicable) Evaluation      
Date (dd/mm/yyyy)
rd
3 Language (if any)                              
(if applicable) Evaluation      
Date (dd/mm/yyyy)
4th Language (if any)                              
(if applicable) Evaluation      
Date (dd/mm/yyyy)

13. LICENSES AND CERTIFICATIONS (if any)

Issue Date (dd/mm/yyyy)       Expiration Date      
(dd/mm/yyyy)
Licence /Certification      
City       Country      
Is a renewal in progress? Yes No Licence /Certification      
Number
Issued By      

Issue Date (dd/mm/yyyy)       Expiration Date      

(dd/mm/yyyy)
Licence /Certification      
City       Country      
Is a renewal in progress? Yes No Licence /Certification      
Number
Issued By      

14. THREE PROFESSIONAL REFERENCES (Mandatory to complete)

A Professional reference is a recommendation from a person who can vouch for your qualifications for a job.
This should not be the same person you listed as your supervisor for any of your work experiences.
Reference #1 - Name      

Print Date: 17 June 2018 Page 7 of 9

 Title      
Employer      
Phone Country Code Telephone # Ext.
              
Email Address      
Address line 1      
Address line 2      
Address line 3       Postal Code      
City       Country      

Reference #2 - Name      

Title      
Employer      
Phone Country Code Telephone # Ext.
              
Email Address      
Address line 1      
Address line 2      
Address line 3       Postal Code      
City       Country      

Reference #3 - Name      

Title      
Employer      
Phone Country Code Telephone # Ext.
              
Email Address      
Address line 1      
Address line 2      
Address line 3       Postal Code      
City       Country      

15. QUESTIONNAIRE (Mandatory to complete)

1. Are you now, or have you ever been, a permanent civil servant in your government's employ? If the answer is yes,
please provide the dates below.
From Date       To Date      
Yes No (dd/mm/yyyy) (dd/mm/yyyy)
2. Have you ever been arrested, indicted or summoned in court as a defendant in a criminal proceeding, or convicted,
fined or imprisoned for the violation of any law (excluding minor traffic violations)? If the answer is yes, please provide
details below.
Details      
Yes No
3. Have you ever been the subject of an investigation into allegations of misconduct?
Yes No
4. Have you ever been subject to disciplinary proceedings or measures?
Yes No
5. Would you accept employment for less than six months?
Yes No
6. Entry in United Nations service might require assignment to any area of the world in which United Nations might have
responsibilities. Are there any limitations on your ability to engage in your prospective field of work? If yes, please add
details below.
Details      
Yes No
7. Entry in United Nations service might require assignment to any area of the world in which the United Nations might
have responsibilities. Are there any limitations on your engage in all travel? If yes, please add details below.
Details      
Yes No
8. Working with UNHCR requires field work in difficult, high-risk, and non-family locations. Do you commit to accepting a
deployment to such field operations?
Yes No
9. Do you have a spouse or any children? If yes, please provide below the names, dates of birth and the relationships.
Yes No

Print Date: 17 June 2018 Page 8 of 9

 Name Birth Date (dd/mm/yyyy) Relationship
                 
                 
                 
                 
                 
                 
10. Have you taken up legal permanent residence status in any country other than that of your nationality?
If the answer is yes, please indicate the country.
Yes No Country      
11. State any other relevant facts. Include information regarding any residence outside the country of your nationality.
Details      
Yes No
12. Have you taken any legal steps towards changing your present nationality?
If the answer is yes, please add details below.
Details      
Yes No
13. Are any of your relatives, or is your spouse employed by a UN organization or Specialized Agency? If the answer is
yes, please indicate Name, Relationship, and Name of International Organization.
Yes No
Name Relationship Name of International Organization
                 
14. How did you hear about this vacancy?
UNHCR Career Website Campus Presentation by UNHCR Career Information Visit by UNHCR
Other UN Website Government Agency Social Media (LinkedIn, Twitter, etc.) Job Fair
Print Media Job Board (UNJobFinder, WhereWomenWork, ReliefWeb, Devex, Monster, etc.)
Professional Association Referral by a friend Other
CONFIRMATION AND CONSENT (Mandatory to complete)
To complete your application you are required to confirm the following:
ACCURACY OF CONTENT: The content of this application is accurate and contains no false information;
EDUCATION INFORMATION - You give your full consent and authorize the Office of the United Nations High Commissioner
for Refugees (UNHCR) to contact each of your educational institutions listed in this application for the purpose of conducting
required reference checks with regard to your educational background, and to confirm the diploma or degrees you have
received at each educational institution.
You also authorize the mentioned educational institutions to provide requested information directly to UNHCR. Any information
received from your educational institutions will be treated with due regard to all confidentiality requirements; and,
WORK EXPERIENCE - You are aware UNHCR will contact former and current employers, if applicable, regarding Work
Experience, as well as check your three Professional References.
Finally, you understand that submission of false information or misrepresentation and/or submission of falsified
documentation constitutes serious misconduct for which severe disciplinary sanctions can be imposed.

I consent to all of the foregoing as part of the process of evaluation of my application.

DATE : _______________________ SIGNATURE: _____________________________

Print Date: 17 June 2018 Page 9 of 9