APPLICATION FORM

APPLICATION FORM FOR  EMPLOYMENT WITH THE COIN/CVC COMPONENT OF THE PANCAP GLOBAL FUND PROJECT

2011

INSTRUCTIONS:
Please cut and paste this form onto a word document and send with your CV and motivation
statement.

 

Date:

Name: (Last, First, Middle, Maiden)

Date of Birth:

Present address: (Number, Street, Town, Country)

How long have you lived at this address:

Telephone:

Email Address:

Position applied for: (Use job titles provided in the Terms of Reference)

Country Posting (Please verify in the TORS that the post is available in the country you select)

Salary desired

(Be specific)

Days/hours available to work: (No Preference, weekdays, weekends)

How many hours can you work weekly?

Can you work nights?

Employment desired: (Full-time only, part-time only, full or part-time)

From what date are you available for work?

Highest attained education: (University, Business or trade school, High School)

Number of years of study:

Areas of specialization: (Expand space as necessary)

Languages spoken: (Please specify whether written and/or spoken and level of proficiency – mother tongue, very good, good, fair, basic working knowledge)

Have you ever been convicted of a crime?     Yes    No

If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.

Please list two references other than relatives or previous employers:

Reference 1:

Name

Position

Address

Telephone

Email

Reference 2:

Name

Position

Address

Telephone

Email

 

Work Experience

Please list your work experience for the past five years beginning with your most recent job held.

Attach additional boxes if necessary.

Name of employer: (If you were self-employed, give firm name).

Address:

Name of last person you reported to:

Employment dates:

Pay or salary:

City/Town, country:

Phone number:

Your last job title:

Reason for leaving (be specific):

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this organization:

Name of employer: (If you were self-employed, give firm name).

Address:

Name of last person you to:

Employment dates:

Pay or salary:

City/Town, country:

Phone number:

Your job title:

Reason for leaving (be specific):

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this organization:

Name of employer: (If you were self-employed, give firm name).

Address:

Name of last person you to:

Employment dates:

Pay or salary:

City/Town, country:

Phone number:

Your job title:

Reason for leaving (be specific):

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this organization:

May we contact your present employer? _ Yes __ No

Did you complete this application yourself  Yes  No

If not, who did?

An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.

APPLICATION CHECK LIST:

• Curriculum Vitae CV
• Motivation Statement (max 2 pages)
• Completed Application Form 

EMAIL THE ABOVE BY 30TH JANUARY 2011 TO:
coin.cvc.human.resources@gmail.com