THE MAY 18 MEMORIAL FOUNDATION APPLICATION FORM
application deadline: June 30, 2009 period of event : August 30 – September 19, 2009
Categories (please check box) Senior/Director Position
Middle manager/Supervisory Position
Junior Staff
A. Organizational Information Name of organization: Name of the Head of organization: Title/Designation/Position :
Gender:
Address: Telephone:
Fax:
E-mail:
Web site/blogsite:
B. Personal Information Legal name as First name/s: in your passport Surname: Attach photo
Gender:
Date of birth (DD,MM,YY):
Age
Nationality:
Language/s spoken:
Telephone:
Fax:
Mobile Phone:
E-mail:
Address:
Application form_ Gwangju Asian Human Rights Folk School 2009
1
Name and address of person to be notified in case of emergency:
C. Educational Background Institution
From
To
Degree/Studies
D. Work Experience Organization
From
To
Position
E. Trainings, Conferences, Workshops, Seminars Attended Title
Country/Host/Spons or
Inclusive Dates
F. English Language Proficiency (please check) Category
Poor
Intermediate
High
Understanding Writing Speaking Reading (Please attach a scanned certification like IELTS, TOEFL, etc which demonstrates your English language ability.)
G. Passport Details Passport Number
Place Issued
Date Issued
Date of Expiry
Complete Name (Surname, First Name)
Application form_ Gwangju Asian Human Rights Folk School 2009
2
H. Medical/ Health Record Height: Drink:
Weight: Smoke:
Blood Type: Common Illness:
Allergies:
Medications:
Diet:
For females – Are you pregnant?
I. Additional Documentation (provide these data as enclosure to your application) Please ensure that the following documentations are enclosed with this application (scan PDF format and send as email attachments): A scanned copy of your valid and not expired passport. Curriculum Vitae/Resume detailing on your work and job responsibilities. An application letter signifying your interest in the folk school countersigned and endorsed by your superior or the head of your organization. Expectations, objectives, focus of interests on the human rights folk school. Proof of organization’s legal identity or registration.
J. Personal Undertaking/ Organizational Consent/ Endorsement I the undersigned hereby declare that I have completed this application accurately and truthfully. I understand that the Gwangju Asian Human Rights Folk School prohibits me in bringing my family or friends during the duration of the school program. I understand that my air travel and other folk school related expenses will be paid for by the Foundation during my stay in Korea.
Date
Participant’s Name
Signature
I hereby attest to the statement made above and recommend or endorse the participation of our staff to the Gwangju Asian Human Rights Folk School.
Date
Superior’s Name/Head of the organization
Signature
K. Organizational Affiliation and Network Name of Network
Application form_ Gwangju Asian Human Rights Folk School 2009
Focus
Country/Locatio n
3
L. Biosketch Please write a biosketch or a 3-paragraph (not more than 30 sentences) summary of your resume describing yourself personally and professionally (skills, experiences, special trainings, achievements, hobbies, interests, involvements and activities especially on the field of Human Rights, Democracy and Peace).
※ Please use extra sheet if the space provided herein is not sufficient. Thank you. Note : Incomplete application forms will not be accepted. If selected, you will be notified by fax or e-mail.
Application form_ Gwangju Asian Human Rights Folk School 2009
4