Eca - Cea: Internship Programme Application Form

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ECA - CEA

INTERNSHIP PROGRAMME APPLICATION FORM


Please print clearly, preferably typed

PART I 1. Applicant information:


Family name (surname): First name (given name): Middle initial: Gender (sex): Date of Birth (day/month/year): Present nationality: City / Country of birth: Fax: Nationality at birth: Telephone: e-mail: Present Address:

2. Emergency contact information:


In case of emergency, notify: Family name (surname): First name (given name): Gender (sex): Relations: e-mail: Telephone: Fax: Address:

I hereby confirm that I hold a health/accident insurance policy with the following insurance company: Company name: Policy Number:

2 3.

Higher education (college/university) and language skill information:


Please attach your university credit/marks/scores in transcript. Degree expected (m/y): Main course of study: Study started (m/y):

Full title of the degree:

University name: Full title of the degree:

City: Degree expected (m/y): Study started (m/y):

Country: Main course of study:

University name: Full title of the degree:

City: Degree expected (m/y): Study started (m/y):

Country: Main course of study:

University name: Full title of the degree:

City: Degree expected (m/y): Study started (m/y):

Country: Main course of study:

University name: Full title of the degree:

City: Degree expected (m/y): Study started (m/y):

Country: Main course of study:

Knowledge of Languages: English: French: Other (please specify):

Read Easily Not Easily

Easily

Write Not Easily

Speak Easily Not Easily

4. Internship information
Please indicate in order of preference of your availability for the internship period: ___ Mid-January to mid-March Computer skills: Word-processing Internet research Spreadsheet Database Web page design ___ Early June to early August ___ Mid-September to mid- November

Previous employment experience (use additional sheet if necessary):

Preferred work assignment: Please indicate by numbering in order of preference three main areas in which you would like to be considered for an internship.

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Administration and management Accounting and auditing Development planning and analysis Disarmament affairs Economic and social research Environmental affairs Humanitarian affairs Information systems Law of the sea Other relevant information: 1. 2. Have you ever applied for regular employment with the United Nations? If yes, please give dates Have you ever been arrested, indicted, or summoned into court as a defendant in a criminal proceeding, or convicted, fined or imprisoned for the violation of any law (excluding minor traffic violations)? If yes, please explain and attach the release document from the authority. Legal affairs Library science Political affairs Peace-Keeping operations Population affairs Public information and journalism Sustainable development Translation and terminology Womens issues No Yes (Date)

You will be requested to supply documentary evidence, which supports the statements you have made above. Do not, however, send any documentary evidence until you have been asked to do so by the Organisation and, in any event, do not submit the original texts of references or testimonials unless they have been obtained for the sole use of the Organisation. I certify that the statements made by me in answer of the 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 this form or other document requested by the Organisation renders a staff member of the United Nations liable to termination or dismissal.

Date:

Signature:

PART II To be completed by the Nominating Institution


Please write clearly preferably typed.

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Name and Address of Nominating Institution/Organisation: (Must be stamped with the official seal)

Name of Certifying Official : (Print the name please)

Date:

Signature:

Before you send this application, please use the following checklist to verify whether you have followed all necessary steps: 1. 2. 3. 4. 5. All submitted papers are in either English or French. All questions in the form have been answered; PART II (above) has been filled and signed by the Nominating Institution/Organisation; You have attached your curriculum vitae and have written a short essay stating your purpose in obtaining this internship; You have signed the form; You have made 2 copies of everything for submission.

6.

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