Completing your application

  1. Read the instructions on the form carefully as you complete your application.
  2. Please provide the documents in the checklist below.
  3. Please return completed application form with all documents in the checklist belowviaemailby June 15, 2016.

Eco-Peace Leadership Center

College of Forest & Environmental Science 1st Building #109,

Kangwondaehak-gil 1, Kangwon National University,

Chuncheon city, Gangwondo province,

Republic of KoreaZip Code : 24341

Tel: 82-33-257-7129,Fax: 82-33-257-7130

Email:

APPLICATION DEADLINE:June 15, 2016 *Korean Local Time

If you have any questions or concerns, please feel free to contact us:

Document Checklist (Please check if provided)

1. Application Form / 
2. Project Plan Form / 
3. Project Manager’s Information Form / 
4.Registration documents / 
5.Certificate of graduation or diploma / 
Note: * Electronic/scanned copies of documents are sufficient for the application
* Please try to merge all files into one when submitting

For inquiries and further information, please feel free to contact usor visit the following URL:

  1. Application Form for10thEPLC Leadership Program

Basic Information
Name of Organization
Representative’s Name
Organization
Address / Country
Address / (Zip Code)
Phone / (National Code)
Email / Fax / (National Code)
Website /
Number of
Membership / Number of staff / Executives:
Staff:
Project Manager / Name / Position
email / Mobile
Project Details
Project Title
Subject / Please select one of the following:
Climate Change( ) / Disasters and Conflicts ( ) / Ecosystem Management ( ) / Environmental Governance ( ) /Harmful Substances& Hazardous WasteResource ( ) /Efficiency-Sustainable Consumption& Production ( ) /Other Environmental Issues in Local Areas ( )
Type / Please select one of the following:
Education & Training ( ) / Campaign & Raising Awareness ( ) /
Direct work ( ) / Research ( )
Objective
Duration / YYYY/MM/DD – YYYY/MM/DD
Location / Area /

Where is the project site(Nation/City/ etc.)?

Target Group /

How many people to participate in this project?

Who will benefit from the project?

Brief Description / Briefly describe your main activities related to the project.
Expected Results
Project Budget
I here affirm that all the information in this form is true and correct.
Date ______
Representative’s name ______
Representative's signature______
  1. Project Plan Form

Project Title
Organization
Location / Area /

Where is the projectsite? (Nation/ City / etc.)

Target Group /

(how many people to join)

I. Introduction

1. Background:

(Please describetarget area, environment, target group and stakeholders and explain why youcarry out theproject.)

2. Objectives:

(Please describe the objective clearly)

II. Contents:

(Please describe in detail what to do in your project)

III.Methods:

(Please explain in detail how to do for your project)

IV.Expected Effects:

(What Kind of effects is expected from your project in terms of economic, political orsocial effects?)

V. Beneficiary:

(Who will get the benefit from your project? Andhow?)

VI. Detailed Project Plan

Activities / Time / Place / Indicators / Mean of Verification

VII. ProjectTime Schedule

Activities / Schedule / Remarks
Nov / Dec / Jan / Feb / Mar / Apr / May / Jun

VIII. Budget in USD

No / Description/Activities / Unit / Unit Price(USD) / Amount(USD)
Total / USD

※Total Budget cannot exceed USD2,000 and overhead cannot exceed 10% of total budget either. Please write down carefully and in detail according to the particulars above, since the evaluation will be deeply affected on how clear and intensive are your activity plan and budget plan also.

Note:Project plan form need to be filled out within 10 pages.

  1. Project Manager’s InformationForm for EPLC Leadership Program

Passport sized photo / Name(first name last name):
Nationality: / Sex: Female  Male
Date of Birth: / Place of Birth:
TEL(Home): / Mobile:
E-mail:
Correspondent Address: / Permanent Address:
Main Educational Background
Publications
Work Experience
Proficiency of English
Please present the evidence for your English ability, like TOEFL or TOEIC score, etc.
I here affirm that all the information in this form is true and correct.
I shall abide by the Korean laws and the regulations of Eco-PeaceLeadershipCenter.
Date ______
Project Manager’s signature______
Project Manager’s signature______
  1. Registration Certificate of Organization

4-1. Organization Information

Current Status
of the Organization / Organization name / Representative’sname
Founded Date / No. of Registered Members / (Subscription-based Members who support your organization)
Registered Date
No. of Employee
Location
(City)
Mission Statement
(Objective of Foundation)
Main
Activities
2015 Financials / (Indicate the sum of Revenue and Expenditure.)
*Optional
Name of Korean Organization that you partner with / Name of Organization
Contact Info. / Email
TEL
Name of Representative
(Please specify the cooperative projects and events with the organization)

4.2 Registration Certificate of Organization

  1. Certificate of Graduation or Diploma

1