22 June - 4 July 2014 /
APPLICATION FORM
Please type or print in block letters
PERSONAL HISTORYFamily Name (surname) / First Name /
Photo
Mailing AddressTelephone: / Fax: / E-mail:
Home Address (if different from mailing address)
Emergency Contact: (Name, Address)
Telephone: / Fax: / E-mail:
Citizenship / Passport Number / Date of birth (day/month/year) / male female
EDUCATION / HIGHEST DEGREE and Name(s) of School(s) / Academic Institution(s)
PRESENT POSITION
PROFESSIONAL HISTORY
Special skills and experiences that may be relevant for OSCE activities
Have you lived abroad for longer than one month; if so, where and what did you do?
LANGUAGE ABILITY
English:ReadExcellent oGoodoFairo
WriteExcellent oGood oFairo
UnderstandExcellent oGoodoFairo
Vernacular Language:
Other:Excellent oGood oFairo
Excellent oGood oFairo
I would like to apply for financial support because of reasons I have indicated in the
enclosed application essay (financial support for travel expenses is not possible).o
I agree that my data are electronically stored and processed for the internal use of the ASPR.
My signature confirms that the information above is true. I declare that during the course I will not have other commitments.
Signature:Date:
APPLICATION DEADLINE: 30 April 2014
Please, e-mail the above application and all supplementary documentation to:
Ms Claudia Hofer
E-mail:
AUSTRIAN STUDY CENTER FOR PEACE AND CONFLICT RESOLUTION (ASPR)
Rochusplatz 1/Burg
A-7461 Stadtschlaining, Austria
Tel.: +43-3355-2498 ext. 507
Fax: +43-3355-2662
P l e a s e a t t a c h :
1. Curriculum vitae
2. Recent photograph
3. Names, addresses and telephone numbers of two persons whom we may contact as personal references
4. Application essay of 300 words. Please write in English your reasons for applying to this programme,
your main fields of interests in the programme, and how you hope to benefit from the programme.