Microsoft Word - Application Form 17092003_1.doc by HC12110511446

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									      Application to participate in an GLU/GIZ International Leadership
                             Training in Germany

                                              - ENGAGE -
                   Empowerment and Capacity Building Network for Global Labour Activists


This application form is for applicants from all industrialised (Non-
Dac1) countries.
Application deadline: 15 December 2012 (arrival of application package)


Please complete the application form in ENGLISH and please use a typewriter or
complete it at the computer.


If you have any questions concerning this application form, feel free to contact us by e-mail: engage@uni-
kassel.de

Please hand in your application as early as possible to make sure that your application can be processed
and we have enough time to contact you in case of further clarification and provision of proofs of
qualifications obtained (e.g. photocopy of certificates).




1
    http://www.oecd.org/dac/aidstatistics/49483614.pdf

                                                                                                           1
The application form must have enclosed:



The following checklist offers an overview:                                                     √
1 Form Part 1          To be filled out by applicant
3 Appendix 1           CURRICULUM VITAE/TRADE UNION EXPERIENCES
4 Appendix         2 STATEMENT OF OBJECTIVES
    (use separate
    sheet)
5 Appendix         3 RESEARCH TOPICS
    (use separate
    sheet)
6 Appendix         4 LETTER OF RECOMMENDATION
    (use       extra
    sheet)

Appendixes 1-4 constitute the most important part of the application for us
7 Diplomas           DIPLOMA AND CERTIFICATES with the highest
                       professional qualification and/or university degree
                       - in case of no BA, please add other certificates if available as well
                       as a confirmation of your employer/trade union about the acquired
                       skills at your workplace.
                       - TOEFL exam certificate - no less then 500 in TOEFL paper test
                       (unless you have studied in an English BA programme).
8   Passport photo     Please include a passport photo with the application.
9   Signed             Please sign the declaration at the end of this form before you send
    declaration        in the package.



Please fill in the application forms and forward them to:

ICDD - University of Kassel
Global Labour University Germany
- ENGAGE -
Department of Social Science Globalization & Politics
Kurt-Schumacher-Str. 2
34109 Kassel
Germany




                                                                                                    2
                                                Cover sheet / Summary:
                                 Application Training Programme ENGAGE

                                                 General Information

Please attach a passport-style photo


    1    Family name2:

    2    First names:

    3    Date of birth:                Day                  Month                 Year

    4    Place and country of birth:


    5    Nationality (nationalities):

    6    Gender:                      Female                Male

    7    Marital status:                                    Number of children:

    8    Postal address

         Street / PO box:

         Area code:                              Town:                 Country:

         Telephone:                              Fax:                  Email:

9        Departure airport:


10       Lingua franca:                                      Mother tongue:




2
    Spelling must be the same as in passport.

                                                                                         3
11       Job-related stays abroad

         From                  to     Country                         Purpose                        Funded by




12       Education (please enclose diplomas / certificates in duplicate)*
         from            to      Name, place                       Field/                            Qualification /
                                                                   Main subjects                     diploma, certificate
         Secondary school



         Vocational and technical school




         University




         Other qualifying courses




*
    Certificates and diplomas that document the highest professional qualification and/or university degree must be enclosed in
    duplicate

                                                                                                                                  4
13   English language skills

     If English is not your first language, please tell us about any English language
     qualifications you hold and enclose a copy of your result slip with your application.
                                             Score                  Date obtained
     IELTS

     TOEFL

     Any other
     English
     language
     qualification,
     please indicate
     If you do not
     already have an
     English
     language
     qualification,
     please indicate.




                                                                                             5
14   Employment
     Employer:
     Precise occupation or profession:


     Employment (please be particularly precise for the past 3 years)
     From        to    Employer / sector                        Position / job description / location




15   What are your main tasks with your current employer?



16   For which other tasks are you responsible?



17   Trade union involvement

     Name of the trade union supporting the application:

     Tasks/positions within this trade union movement:




                                                                                                        6
Appendixes
1.      CV/EXPERIENCE WITH LABOUR ISSUES (please use separate sheets)
Please provide a Curriculum Vitae (CV) that makes special reference to your practical experience in
trade union work and other civil society activities on social and economic issues, current employment
situation and future engagement with the labour movement. You may write any information you
would like to be considered in the application process.

EXPERIENCE WITH LABOUR ISSUES
• Dates (from – to)
• Name of institution
where experience was
gained
• Occupation or position
held
• Main activities and
responsibilities




2.      STATEMENT OF OBJECTIVES (please use separate sheets)
Please write here any information which you would like considered in support of your application. For
example, what do you hope to achieve by taking the Training Programme, what effect might it have
on your job aspirations and trade union activities, what work experience and skills have you acquired
which are related to your programme of study?

3.      RESEARCH TOPIC(S) (please use separate sheets)
Please provide a short type-written statement (2 pages) about a specific research topic you are
interested in and the main questions in relation to this topic that you would like to explore in more
detail during the course.

4.      LETTER OF RECOMMENDATION (please use separate sheets)
Please provide a statement from a trade union referee certifying your trade union work. The letter
should include a statement whether the trade union supports your application.




                                                                                                     7
DECLARATION – please sign the declaration

•      I confirm that the information given on this form is true, complete and accurate.
•      If the University of Kassel or the HWR Berlin have reason to believe that I or any other
       person have given false information or have omitted any information requested in the
       instruction or application form or made any misrepresentation, the Universities will take
       whatever steps considered necessary to establish the authenticity of my application. I
       accept that if I do not fully comply with these requirements, the Universities reserve the
       right to cancel my application and I shall have no claim against the Universities.
•      I will notify the admissions office of ENGAGE at the University of Kassel and the HWR
       Berlin in a timely manner on any relevant changes.
•      Admittance to the programme can in no way be considered a guarantee for obtaining the
       diploma.
•      I understand that the programme is composed of participants from many different
       countries, and many cultural backgrounds. I agree to co-operate with all participants with
       generosity and tolerance.
•      I also understand that acceptance into the programme does not obligate the University of
       Kassel or the HWR Berlin to provide me with any form of financial support.
•      I agree that this application and the accompanying supporting documents will remain with
       the University of Kassel or HWR Berlin, even if I am not accepted into the programme.
       The information I provided above will be stored in electronic form for the sole purpose of
       the application and admissions procedure at the University of Kassel or HWR Berlin.

Signature: ________________________________________________________
Name of applicant:
Date and place:



Please fill in the application form with a typewriter or at the computer and type the
required additional pages.

Please do not hand in original documents, only officially authenticated photocopies of all
certificates.´




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Further Information
ENGAGE is a programme for trade unionists from Southern Africa, India, Brazil and OECD countries.

TUITION and FEES
For students from OECD countries a tuition fee of 1060 Euro will be charged.


FINANCIAL SUPPORT

For the participants of Southern Africa, India and Brazil the organisation InWent will provide
scholarships for the course section as well as for the internships. See other application form on the
website.

Participants from OECD countries may apply for scholarships as well. The scholarship will cover only
the period of teaching: 3,5 months. However, participants from OECD countries are free to organise
an internship at their own initiative and cost.

PLEASE SEND THE APPLICATION PACKAGE TO THE FOLLOWING ADDRESS:


                               ICDD - University of Kassel
                            Global Labour University Germany
                                        - ENGAGE -
                    Department of Social Science Globalization & Politics
                                  Kurt-Schumacher-Str. 2
                                       34109 Kassel
                                          Germany




Process: The decision upon admission will be made by the Academic Board of the Study
Programme Labour Policies and Globalisation. Selected students will be contacted approx. mid.
December 2011 to confirm their participation.

No offer: If the decision is not to make an offer, this will be the end of the process. We will inform
you about the decision by e-mail. Unfortunately, we are not able to keep unsuccessful applications,
and will destroy them shortly after the start of the academic year.

Offer: If you receive an offer, we will send you details on the conditions. We ask you to confirm the
admission at short notice. Please make sure that the notification of admission can be delivered to the
address you entered on page 2 of this form. And, please make sure that your e-mail account is valid
during the application process for contacting you in case of further clarification and provision of
proofs.




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