<p> APPLICATION FOR EU AID VOLUNTEER</p><p>Name EUAID Volunteers ACTing against disaster risks (EUAVACT). of the Project</p><p>Name of the Vacancy Title</p><p>Closing date of application: 01.05. 2017 </p><p>STRICTLY CONFIDENTIAL THE INFORMATION CONTAINED IN THIS APPLICATION FORM WILL BE USED SOLELY FOR THE PURPOSE OF THE SELECTION OF EU AID VOLUNTEERS FOR EUAID Volunteers ACTing against disaster risks (EUAVACT).</p><p>General conditions</p><p>Candidates must satisfy the requirements set out in Regulation (EU) No 375/2014 of the European Parliament and of the Council of 3 April 2014 establishing the European Voluntary Humanitarian Aid Corps ("EU Aid Volunteers initiative")1, which include having a minimum age of 18 years old and being a citizen of EU or a third country national who is a long-term resident in an EU Member State. </p><p>ICCO applies a policy of equal opportunities and accepts applications without distinction on the grounds of sex, race, colour, ethnic or social origin, genetic features, language, religion or belief, political or any other opinion, membership of a national minority, property, birth, disability, age or sexual orientation</p><p>Personal details</p><p>Surname Dr/Mr/Mrs/Miss/Ms/Other</p><p>Forename(s)</p><p>Address</p><p>Postcode </p><p>1 OJ L 122, 24.4.2014, p. 1 Home Tel no Business Tel no</p><p>Mobile Tel Other Tel no no</p><p>Meeting EU AID VOLUNTEERS criteria </p><p>The candidate for EU Aid Volunteers must have a minimum age of 18 years2 </p><p>Date of Birth</p><p>The candidate for EU Aid Volunteers must be a citizen of EU or a third country national who is a long-term resident in an EU Member State)</p><p>Nationality</p><p>Country of Residence</p><p>Do you have a long-term residence permit3? Yes No4 (non-EU citizens only)</p><p>If Yes, please provide details (number, date of issuance, validity, competent authority) </p><p>Relevant experience</p><p>Skills relevant to the position </p><p>Please give a brief summary of your educational and occupational history, and explain how you meet the required skills detailed in the vacancy notice.</p><p>2 If the applicant`s age is under 18 years, he/she is non-eligible. 3 a "long-term resident" means a third-country national who has been granted with long-term resident status by a n EU Member State in accordance with Articles 4, 5 and 7 of Council Directive 2003/109/EC of 25 November 2003 concerning the status of third-country nationals who are long-term residents 4 If this chosen, the applicant is non-eligible. Motivation </p><p>What is your motivation for applying for this position? </p><p>Do you have the relevant skills and experience for the professional profile sought for the advertised position? </p><p>Junior Yes No Senior Yes No</p><p>(Please draw from past employment and/or voluntary activities and/or scientific papers you have had published relevant to the vacancy.) Indicate the number of years you have been involved in the duties mentioned and relevant job or volunteer role titles.</p><p>Descriptions to indicate where the candidate meets selection criteria and minimum requirements to serve as exclusion criteria, if applicable (such as level of competences, motivation and other relevant criteria such as experience, language skills, medical aptitude to travel and work in developing countries, availability);</p><p>Qualifications List the qualifications you have taken or are about to take (eg. Matsec, ‘O’, ‘Int’, ‘A’ Level, GCE, Degree, Masters Degree, PhD, or other). </p><p>Type of Subject Result/date Type of Subject Result/date qualification qualification</p><p>Language skills</p><p>Mother tongue(s) Replace with mother tongue(s)</p><p>Other language(s) UNDERSTANDING SPEAKING WRITING Listening Reading Spoken interaction Spoken production </p><p>[Replace with language] Enter level Enter level Enter level Enter level Enter level Replace with name of language certificate. Enter level if known. [Replace with language] Enter level Enter level Enter level Enter level Enter level Replace with name of language certificate. Enter level if known. Levels: A1/A2: Basic user - B1/B2: Independent user - C1/C2 Proficient user Common European Framework of Reference for Languages Past employment details excluding your present or last employment. You can include here paid employment as well as volunteering activities.</p><p>Employer’s name & Job title Date Salary Reasons for address leaving From To</p><p>Present or last employer/volunteer role details Company name and address</p><p>Postcode</p><p>Position held</p><p>Dates from To</p><p>Outline present duties</p><p>Training courses Detail below any specialised training you have received or any relevant short courses attended.</p><p>Availability</p><p>Declaration I confirm that the information contained in this application form is correct.</p><p>I am aware of and consent to the collection and the process of my personal data for the examination of my application for EU Aid Volunteer for EUAID Volunteers ACTing against disaster risks (EUAVACT).</p><p>I am aware that the relevant national authorities will be informed about my deployment.</p><p>Signature </p><p>Date</p>