Are You Applying As a Group? If Yes, Please List the Names of Your Group Members

/ UNU-KNCUGlobal Seminar 2010 Session
APPLICATION FORM / Please attach a
photo here

Application form must be typed or clearly written in English and in block letters and sent to by July 2nd, 2010. Detailed Information on the seminar can be found on thewebsiteunu.unesco.or.kr

►Are you applying as a group? If yes, please list the names of your group members.

Member 1:Member 2:Member 3:

1. Personal details

Family Name / First Name / Age / Sex (F / M)

University/College/School Name

/ Major and Program Level / Date of Birth (dd.mm.yy)

Nationality

/ Passport No.(International only)
Expiry date: / Have you ever participated in a UNU-KNCU Global Seminar Session before? (YES/NO, Please give session details)
Resident Registration No.(Korean only)

2. Address

Current Address
Effective Date From: To: / Telephone Numbers
(with area code) / E-mail1
Permanent Address (if different than current address) / Telephone Numbers
(with area code) / E-mail2

3. Emergency Contact

Name / First Name
Relationship to applicant
Address / Telephone Numbers
(with area code) / E-mail

4. Language Capabilities

Primary Language: / Below: Mark with  level of knowledge of other languages
English Test Score (TOEFL/TOEIC/TEPS/IELTS):
Other Languages Spoken / Excellent / Good / Fair / Slight

5. Give a detailed description of your relevant academic/professional experience. Please list the dates, type of event, and name of employers and/or organizers, and country.

Date / Type of event / Name of Employer
and/or organizers / country

6. Briefly outline what course(s) you are studying or have studied.

7. Do you have any significant health problems and/or particular dietary/medical requirements?(serious accident, illness, handicap, allergy, medication, etc.)

8. What unique personal qualities or life experiences might distinguish you from other applicants? (300-word limit)

9. Please list the commission and country you would like to represent.

■Commission(Please tick ()the blank below.)

-Commission 1: Mitigation of Climate Change( )

-Commission 2: Impacts, Adaptation, and Vulnerability of Climate Change( )

■Country (Please choose two countries and put numbers in the box in order of preference.)

Annex Country
Australia / Denmark / France / Germany
Japan / Russian Federation / Sweden / The United Kingdom
United States of America
Non-Annex Country
Brazil / China / Costa Rica / Dominican Republic
Ethiopia / India / Mexico / Nigeria
Republic of Korea / Saudi Arabia / Singapore

* Countries listed above have been selected carefully in accordance with UNFCCC.

10. Please state why you choose the particular commission and country from the list above. (400-word limit)

11. Please describe your motivation for applying to this seminar, focusing on your idea of Climate Change and how to deal with it. (1000-word limit)

How did you learn about the UNU-KNCU Global Seminar 2010?

I hereby certify that the information in this application is complete and accurate.

Name or signature:Date:

Please return this form to (via e-mail only)

Global Education Team

Korean National Commission for UNESCO

C.P.O. Box Central 64 Seoul, Korea

Tel: +82-2-755-1105 (ext. 784)

Fax: +82-2-755-7475

Email:

Website: