UNITED NATIONS OFFICES AT NAIROBI Internship programme for: UNITED NATIONS HUMAN SETTLEMENTS PROGRAMME UNITED NATIONS ENVIRONMENT PROGRAMME (UNEP) UNITED NATIONS ENVIRONMENT PROGRAMME (UNEP) Please return completed form to: INTERNSHIP PROGRAMME, Human Resource Management Service United Nations Environmental Programme 15 Chemin des Anemones,CH 1219 Chatelaine Geneva, Switzerland Tel: 0041 22 917 8447 Fax: 0041 22 797 3420 UNITED NATIONS ENVIRONMENT PROGRAMME 1 UNITED NATIONS HUMAN UNITED NATIONS OFFICES UNITED NATIONS ENVIRONMENTAL SETTLEMENTS PROGRAMME AT NAIROBI (UNON) PROGRAMME (UNEP) INTERNSHIP PROGRAMME APPLICATION FORM INSTRUCTIONS 1. Please read the instructions carefully. 2. Answer each question clearly and completely 3. Incomplete Applications will not be considered. 1. Family Name First Name Other Names 2. Date of Birth Nationality 3. Place of Birth 4. Nationality of Birth 6. Gender 5. Present 7. Marital Status 8. Present Address 10. Present Telephone Number Maiden Name 9. Permanent Address 11. Fax Number 12. E-mail Address 13. To what extent are you familiar with the activities of the United Nations 2 14. Proposed Attachment Period From To 15. What is your area of interest and what UN office (Headquarters or one of the Regional Offices) would you like to work in? Please indicate by clicking in order of preference three main areas in which you would like to be considered FOR OFFICES OUTSIDE NAIROBI PLEASE CONTACT THEM DIRECTLY- our Nairobi Office can provide tem upon request. Assignment Area for UNEP Administration Fund Raising Corporate Planning and Analysis Industry/Environment Environmental Economics Public Information Environmental Law Climate Freshwater Preffered Office/Location for UNEP Headquarters: Nairobi Asia & the Pacific: Bangkok* Environmental Assessment Europe: Geneva* Environmental Information and Data Latin America & the Caribbean:Mexico* Human Health/Welfare Oceans Biodiversity Dry land/Desertification Environmental Technology North America: New York* Environmental Gender Issues West Asia: Bahrain* Education/Training Information Technology Trade/Environment Environment Policy Assignment Area for UNCHS (Habitat) 3 * Contact these offices directly, not through the Nairobi Office Building Technology Information Technology Economics Transport Infrastructure Community Development Social Sciences Housing Urban Environment Public Information Capacity Building Urban & Regional Planning & Development Office/Location: Nairobi only Gender Issues Assignment Area for UNON Administration Electronic Services Finance Conference Services Human Resource Support Services Office/Location Nairobi only Other Assignment Areas UNEP UNCHS (Habitat) UNON Please Specify 16. Have you previously submitted an application for internship with the UN? YES NO If YES, state Date/Reference of response received 17. KNOWLEDGE OF LANGUAGES 4 What is your mother tongue? OTHER LANGUAGE Language First Language Read Write Speak Understand Second Language Third Language Fourth Language 18. EDUCATION. Give full details - N.B. Please give exact name of institution and titles of degrees in original language. INDICATE YOUR CURRENT PROGRAMME IN THE SHADED BOX BELOW Name, Place and Country From To Degrees and Academic Distinctions CV 19. Indicate a List of completed Course Work 20. List any significant publication you have written 21. Do you have Computer Skills? Yes 5 No Main Course of Study List Software with which you are proficient 22. EMPLOYMENT RECORDS List in reverse order employment you have had. PLEASE ATTACH AN UPDATED CV From: Month/Year To: Month/Year Name and Address of Employer Type of Business Description of your duties From: Month/Year To: Month/Year Name and Address of Employer Type of Business Description of your duties From: Month/Year To: Month/Year Name and Address of Employer Type of Business Description of your duties 23. List of persons to contact in case of emergency Full Name Full Address 6 Telephone Numbers 24. Do you hold a Health/Accident Insurance Policy? Yes No If YES, indicate the name of the Company and the Policy Number Name of Company Policy Number If NO, please note that you will be expected to bear any costs arising from accidents and or illnesses incurred if accepted for an internship. State any other relevant fact. 25. REFERENCES: List three persons, not related to you, who are familiar with your character and qualifications. Full Name Full Address Business or Occupation 26. Have you any objection to our making inquiries about you? Yes No 27. Have you ever been arrested, indicted, or summoned into a court as a defendant in a criminal proceeding, or convicted, fined, or imprisoned for the violation of any law (excluding minor traffic violations)? Yes No If "YES", give full particulars of each case. 28. I certify that the statements made by me in answer to the foregoing questions are true, complete, and correct to the best of my knowledge and belief. I understand that any misinterpretation or material omission made on this application form, or other document requested by the Organization renders an intern with the United Nations liable for termination or dismissal. Date:______________________________ Signature:____________________________ ENDORSEMENT: TO BE COMPLETED BY NOMINATING/SPONSORING INSTITUTION 7 The following organization ________________________________________ endorses: ________________________________________________ as a candidate to participate in the internship NAME OF APPLICANT(PLEASE PRINT) Programme conducted by UNEP UNON UNCHS (Habitat) Under the conditions set out below: Proposed duration and timing of the Internship: _________________________________________ Intended purpose of candidate's proposed participation in the: UNEP Internship Programme._______________________________ UNON UNCHS (Habitat) __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ NB: MUST BE STAMPED WITH OFFICIAL SEAL. ______________________________________ ______________________________________ NAME OF UNIVERSITY OR INSTITUTION (PLEASE PRINT) NAME OF CERTIFYING OFFICER (PLEASE PRINT) ______________________________________ ______________________________________ SIGNATURE ______________________________________ ADDRESS OF UNIVERSITY OR INSTITUTION _________________________ DATE PLEASE ATTACH LETTER OF ENDORSEMENT FROM YOUR EDUCATIONAL INSTITUTION 8