Application Form for Professional Improvement Program

ABOUT EPA
What is EPA

Mission

Ethical Values

Broader Function

People
Activities
European Projects Accelerator

European Projects Intelligence System

European Projects Awards

Educational Programmes

Professional Improvement Program

Projects

European Horizons of 1917

Conference – Debate « Paula Deetjen, photography and art exhibition in 1917»

Report of activities

European Networking Days

Raising awareness about the project on the Street!

Documentary film: "Borba Mare Bogdanove"
Community

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European Projects Accosiation asbl

ABOUT EPA
What is EPA

Mission

Ethical Values

Broader Function

People
Activities
European Projects Accelerator

European Projects Intelligence System

European Projects Awards

Educational Programmes

Professional Improvement Program

Projects

European Horizons of 1917

Conference – Debate « Paula Deetjen, photography and art exhibition in 1917»

Report of activities

European Networking Days

Raising awareness about the project on the Street!

Documentary film: "Borba Mare Bogdanove"
Community

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PIP application form

Application Form for Professional Improvement Program

BASIC INFORMATION

Family name

First name

Sex Male Female

Civil status

Date of birth

Place of birth

Nationality

PERSONAL DATA

Permanent Address

Current Address

Land phone

Mobile phone

E-mail

LANGUAGES

Knowledge of languages.

Which is your mother tongue?

ENGLISH

Read Excellent Good Slight

Write Excellent Good Slight

Speak Excellent Good Slight

Understand Excellent Good Slight

FRENCH

Read Excellent Good Slight

Write Excellent Good Slight

Speak Excellent Good Slight

Understand Excellent Good Slight

OTHER LANGUAGES

Specify

Read Excellent Good Slight

Write Excellent Good Slight

Speak Excellent Good Slight

Understand Excellent Good Slight

Specify

Read Excellent Good Slight

Write Excellent Good Slight

Speak Excellent Good Slight

Understand Excellent Good Slight

EDUCATION

Give full details – Please provide exact titles of degrees in original language. Please do not translate or equate to other degrees. Please start with the most recent diploma

Name and address of University/College

Attending from

Attending to

Degrees and Academic distinctions obtained

Main course of study

Name and address of University/College

Attending from

Attending to

Degrees and Academic distinctions obtained

Main course of study

Name and address of University/College

Attending from

Attending to

Degrees and Academic distinctions obtained

Main course of study

WORK EXPERIENCE

Please give details of your occupation(s) starting with the present or the most recent. Include, in chronological order, any unpaid work or related training course that is relevant to the post.

Employer's name and address

From

Position held including brief description of your duties

Employer's name and address

From

Position held including brief description of your duties

Employer's name and address

From

Position held including brief description of your duties

Employer's name and address

From

Position held including brief description of your duties

OTHER USEFUL INFORMATIONS

Academic scholarship or distinctions

List of any significant work you have published

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 violation)? Yes No

Have you previously submitted an application for Professional Improvement Program or employment with EPA?

Yes

PROPOSED DATES TO START THE PROFESSIONAL IMPROVEMENT PROGRAM

From

What is your preferred field of work? To facilitate your placement, please list the principal fields of activity of your interest, in order of preference.

REFERENCES: LIST TWO PERSONS, NOT RELATED TO YOU, WHO ARE FAMILIAR WITH YOUR CHARACTER AND QUALIFICATIONS

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

First Person

Name, email address, and position of the referee

What is your connection with this referee?

Second Person

Name, email address, and position of the referee

What is your connection with this referee?

SECTION II - This table has to be filled only by the candidate supported by an Institution or an organization

Name of the institution / organisation

Address

Land phone

Contact Person

E-mail

ATTACHMENTS

Please attach here your cv and your cover letter

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

THANK YOU!

Your Form has been succesfully submitted. We are usually able to respond within one week.

If not, send an e-mail to pip@europeanprojects.org

Files submitted, sending form data now. Please do not abort!

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EUROPEAN PROJECTS ASSOCIATION asbl
square Marie-Louise, 2
1000 Bruxelles, Belgium
info(at)europeanprojects.org

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Application Form for Professional Improvement Program

Please give details of your occupation(s) starting with the present or the most recent. Include, in chronological order, any unpaid work or related training course that is relevant to the post.

THANK YOU!

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