EUAM Local Staff Application Form 2021-1
EUAM Local Staff Application Form 2021-1
1. VACANCY DETAILS
Priority Vacancy Title (Position Code)
1.
2.
3.
2. PERSONAL DATA
Last Name First Name
Date of Birth (dd/mm/yyyy) Country of Birth
3. CONTACT DETAILS
Home address
Street Zip/Postal Code
Town/City County/State/Province
Country
Contact details, Alternative contact details
Email addresses ,
Mobile numbers +380
Telephone numbers +380
1
4. EDUCATION AND PROFESSIONAL TRAINING
University education or equivalent Attended (mm/yyyy)
Name institution / Degrees/qualifications obtained Main course/field of
From: To:
university, place and country (Title of qualification awarded) study
Other courses
Name institution Place and country Course title From: To:
Description of tasks and responsibilities (management level, supervisory level, number of personnel
supervised):
Description of tasks and responsibilities (management level, supervisory level, number of personnel
supervised):
Description of tasks and responsibilities (management level, supervisory level, number of personnel
supervised):
2
+380
Previous position (3) (only positions longer than 6 months)
Organisation Place and country Job title Date (mm/yyyy)
From: To:
Description of tasks and responsibilities (management level, supervisory level, number of personnel
supervised):
6. OTHER SKILLS
Languages(European level *) Native language(s): ,
Other languages Speak Write Read Understand
English
Computer skills
Word processor Web browsing Presentations
Spreadsheets Financial software Project management
C = Proficient User; B = Independent User; A = Basic User; N/A
7. REFERENCES
Please provide minimum of 2 persons who will provide a reference. NO RELATIVES
NAME COMPANY EMAIL TELEPHONE
+380
+380
+380
3
8. MOTIVATION AND ADDITIONAL INFORMATION
Please explain the reasons for your application, covering your profile and particular interest in this position.
Add any other information that might be relevant to your application, including any skills, knowledge and
experience for which there was no space above.
9. FINAL QUESTIONS
Please read and answer carefully all questions
Do you have any objections to our making enquiries of your employers? Yes
Do you have any objections to undergoing a medical examination prior to employment? Yes
Are you regularly taking any medication? Yes
Is any relative of yours, to the best of your knowledge, working in EUAM Yes
Have you ever been convicted or sentenced in any criminal proceedings (excluding minor traffic Yes
violations)?
Do you have any objections to undergoing Biometric and Security checks prior to/during Yes
employment?
If you responded “Yes” to any of the previous questions, please provide details
In accordance with the Law of Ukraine “On Protection of Personal Data”, I do hereby give to I agree:
EUAM Ukraine an unambiguous consent for processing of my personal data under the terms
and conditions defined by the Ukrainian legislation. Yes
By submitting this application form, I certify that the statements made by me in answer to the I agree:
foregoing questions are true, complete and correct to the best of my knowledge and
belief.I understand that any misrepresentation or material omission made on the Application
Form will result in the application being void and will result in termination or dismissal from the Yes
mission.
Place Date Signature (typed name is sufficient)
(dd/mm/yyyy)
If selected for the interview you will be requested to supply documentary evidence
which supports your education and other statements you made above.
Do not send any documentary evidence until you have been asked to do so.
Please submit the filled form in the Microsoft Word format only.