Do not type in this Space
Do not type in this Space
UNICRI VOLUNTEER PLACEMENT
APPLICATION FORM
I. PERSONAL DATA
1. Family name
3. Gender
4. Date of birth
2. First name
5. City/Country of birth
7. Nationality at birth
8. Present address
8a Telephone No.
8b Fax No.
6. Present nationality
8c E-mail
9. Permanent address
II. EMERGENCY INFORMATION
In case of emergency, please notify:
10.
Family name
12.
Relationship to applicant
11. First name
13.
Address/Telephone Number
N.B. Please, answer each question clearly and completely. Type (handwritten forms will not be accepted). Reference to
CV is not sufficient.
III. EDUCATIONAL, EMPLOYMENT AND PERSONAL SKILL INFORMATION
Education
Clearly state the title of the degree(s), the exact starting date and the date when the degree of the current program
enrolment (education to be completed) will be obtained. A statement from your Professor/University agreeing to
your placement at UNICRI will be required at a later stager if you pass a first selection.
14. Current Education (College/University)
Attended
Institution
Main subjects of
Degrees foreseen
from(m/y) to(m/y)
Name, City and Country
study
15.
Computer Skills Word processing
Spreadsheet
16.
Internet research
Databases
Other (indicate)
Publications (if any)
18. Knowledge of Languages. What is your mother tongue?
READ
WRITE
OTHER LANGUAGES
Easily
19.
Scholarship Awards
20.
Career Plans
Not easily
Easily
Not Easily
SPEAK
Not
Fluently
fluently
UNDERSTAND
Easily
Not Easily
IV. INTERNSHIP INFORMATION
21. Preferred work assignment. Please indicate by numbering in order of preference three types of activities in
which you would like to be involved during your internship.
Administration/Finance/Human
Project Development
Secondary Data Analysis
Resources
Conference Organization
Project Management
Statistical Analysis
IT Development/Support
Project Evaluation
Training/Education
Library Science
Public Affairs/Information
Translation/Interpretation
22. Main fields of interest (e.g. Justice Reform, Security, Juveniles, Organized Crime etc.). Please indicate three
in order of interest.
22. Availability for the internship period. If possible indicate two or three alternatives
From (month, year) :
To (month, year):
From (month, year) :
To (month, year):
From (month, year) :
To (month, year):
24.
Other relevant information
Have you ever applied for regular employment with any United Nations entity?
YES
NO
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)?
YES
NO
If "yes", please give full particulars of each case and attach release papers from authorities.
25. 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 and can be verified at any time.
DATE:
SIGNATURE (when applying by e-mail type your name):
____________________________________________________