JOB APPLICATION FORM Position Applied For Photo (optional) Personal Data First Name(s) (underline the one normally used): Last Name/Surname ( in Capital Letters): Maiden name (if any): Place of Birth ( City, Country): Date of Birth: Nationality(ies) ( Present/Previous): Optional : Sex Female Male Marital status Single Child(ren) Yes Married Divorced/ Separated No Permanent Address: Correspondence Address ( if different) : Phone Number: : Mobile Number: : Email Address: : Education and Training (University Degree, Postgraduate Studies, Language or IT Courses, Specific 66/2 Pan Road, Silom, Bang Rak, Thailand Tel: +66 (0)2 6379126-7 Fax: +66 (0)2 6379128, Email: info@forum-asia.org, Webpage: http://www.forum-asia.org Skills Workshops/Diploma) Dates Name/Address of Institution or Course Provider Details of Course Qualifications Attended Gained From: To: From: To: From: To: From: To: From: To: From: To: Note (if any): Publication(s) (if any) Professional Experience 66/2 Pan Road, Silom, Bang Rak, Thailand Tel: +66 (0)2 6379126-7 Fax: +66 (0)2 6379128, Email: info@forum-asia.org, Webpage: http://www.forum-asia.org (Starting with the most recent, list IN REVERSE ORDER. Please describe any previous experience (including Internships) you have had, giving full details of your duties.) 1. Name of Employer: Address of Employer: Name of Business: Name/Position of Supervisor: Contact Details: Brief Description of Your Duties: Exact Title of Your Position: Period of Employment from: 2. Name of Employer: Address of Employer: till: Name of Business: Name/Position of Supervisor: Contact Details: Brief Description of Your Duties: Exact Title of Your Position: Period of Employment from: 3. Name of Employer: Address of Employer: till: Name of Business: Name/Position of Supervisor: Contact Details: Brief Description of Your Duties: Exact Title of Your Position: Period of Employment from: 4. Name of Employer: Address of Employer: till: Name of Business: Name/Position of Supervisor: Contact Details: Brief Description of Your Duties: Exact Title of Your Position: Period of Employment from: till: Please feel free to add more columns if you have more experience to be stated. Other Skills Languages (Please indicate your mother tongue and also level of proficiency: Fluent, Good, Intermediate, 66/2 Pan Road, Silom, Bang Rak, Thailand Tel: +66 (0)2 6379126-7 Fax: +66 (0)2 6379128, Email: info@forum-asia.org, Webpage: http://www.forum-asia.org Basic) Language Understand Read Write Speak IT skills (Please indicate Level of expertise in programme(s) or specific system(s)) References Name/Title of Reference: Name of Reference: Relationship with the reference (current employer): Contact Address: Phone Number: Email Address: When may we contact the person? Contact Address: Phone Number: Email Address: When may we contact the person? (Before or after short listing): (Before or after short listing): Other Information Please tell us more about yourself (e.g. hobbies and participation in social activities) and relate also your working or extra-curricular experience to the job descriptions. Moreover, tell us how your abilities fit into our requirements and why are you interested in this position. If appointed, when can you start? Please state clearly. 66/2 Pan Road, Silom, Bang Rak, Thailand Tel: +66 (0)2 6379126-7 Fax: +66 (0)2 6379128, Email: info@forum-asia.org, Webpage: http://www.forum-asia.org 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. Signature: Date: Please return/e-mail complete form to applications@forum-asia.org Office Address: Asian Forum for Human Rights and Development (FORUM-ASIA) 66/2 Pan Road, Silom, Bang Rak, Bangkok 10500 Thailand Tel: +66 2 6379216-7, Fax: +66 2 6379218 E-mail: info@forum-asia.org 66/2 Pan Road, Silom, Bang Rak, Thailand Tel: +66 (0)2 6379126-7 Fax: +66 (0)2 6379128, Email: info@forum-asia.org, Webpage: http://www.forum-asia.org