Application for the database of experts and trainers

INSTRUCTIONS

Please answer each question clearly and completely. Read carefully and follow all directions.

Family name

First name

Middle name

Maiden name, if any

Date of birth

Place of birth

Nationality

Sex

Male

Female

Permanent Address

Telephone No

Email

Are any of your relatives employed by ReSPA?

Yes

If the answer is "yes", give the following information:

Name

Relationship

Name

Relationship

click to add / remove a relative

In which of ReSPA thematic areas is your experience focused? Please provide for each selection, the sub-areas of expertise.

click to add / remove a thematic area

PROFESSIONAL EXPERIENCE

How many years of professional experience and activity do you have in total?

How many years of professional experience and activity do you have in the indicated area (s)?

Have you cooperated with ReSPA in the past?

Yes

If the answer is “Yes”, please provide more details on the kind of cooperation you have had, and possibly the dates (or period) when this cooperation has happened.

KNOWLEDGE OF LANGUAGES

What is your mother tongue?

Other language(s)

Read

Write

Speak

Understand

Other language(s)

Read

Write

Speak

Understand

click to add / remove a language

EDUCATIONAL BACKGROUND - UNIVERSITY OR EQUIVALENT Please do not equate to other types of degrees

Give full details - N.B. Please give exact titles or degree, translated in english

Name, place and country

From (M/Y)

To (M/Y)

Degrees and Academic Distinctions Obtained

Main course of study

Name, place and country

From (M/Y)

To (M/Y)

Degrees and Academic Distinctions Obtained

Main course of study

click to add / remove a degree

List any significant publications you have written, as author or co-author Do not attach

List any kind of previous engagement as expert and/or trainer that you have had in the past Please provide the topic of the expertise/traineeship provided, the type of expertise, target group and deliverables of each expertise/traineeship.

Are you now, or have you ever been a permanent civil servant in your government’s employ

Yes

If the answer is “Yes”, when?

REFERENCES

List three persons, not related to you, who are familiar with your character and qualifications

Full name

Contact Details

Position or Occupation

Full name

Contact Details

Position or Occupation

Full name

Contact Details

Position or Occupation

State any other relevant facts in support of your application

UPLOAD CV

I confirm 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.

Regional School of Public Administration

Application for the database of experts and trainers

PROFESSIONAL EXPERIENCE

KNOWLEDGE OF LANGUAGES

EDUCATIONAL BACKGROUND - UNIVERSITY OR EQUIVALENT Please do not equate to other types of degrees

REFERENCES

UPLOAD CV

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