School for Political Leaders of Eastern Partnership 2014
* The form must be filled out in English
* Please answer all questions and provide all personal details.
* Please send attachments (the application form will not be accepted without all required attachments)
1) CV
2) recommendations
3) signed participation terms

- using e-mail: rekrutacja.ssl@gmail.com 

The project is co-financed by the Polish development cooperation program of the Ministry of Foreign Affairs of the Republic of Poland – Program “”Support for Democracy”.

* Required

Sign in to Google to save your progress. Learn more
I Personal information
Surname *
Name *
Citizenship *
Passport No. and date of expiry *
Date of birth *
day-month-year
Sex *
What makes you a leader? *
(max 1000 characters)
II Contacts:
Address *
street, number, post code, city, region
Country of residence *
Tel.No. *
E-mail *
Skype No. *
III Additional information:
How did you find out about the School for Political Leaders of Eastern Partnership 2014? *
Required
Special needs:
Do you have any special needs or requirements (e.g. dietary, disability, etc.)? Please specify:
IV Activities:
a) What do you perceive as your greatest success in your previous public activity? *
(max 1000 characters)
b) What is your field of interest/specialization within the framework of political and social activities in your region? *
c) Name the institution(s), organization(s), political party, association(s), club(s) etc. that you work for/cooperate with (one or more) and describe your role in it: *
1) name of the institution; 2) period of cooperation; 3) what is the given entity engaged in?; 4) what is your role and what tasks do you perform?; 5) whom you cooperate with in these activities?; 6) what is the purpose of the cooperation?
V Motivation
a) What challenges and issues influence your engagement in political/social life in your local community? *
c) What are your plans related to public/social activity for the next three years? What would you like to change or achieve? *
VI Vision of changes
Please, write a small essay giving an answer to the following question (max 1500 characters)
What are the issues that are not represented enough in the public discourse in your country? What is the cause which you are willing to act for and why? *
VII Language skills:
Determine your level of proficiency in English: *
Determine your level of proficiency in Russian: *
Other languages:
which ones? level of proficiency
Pursuant to the Personal Data Protection Act of August 29, 1997 (consolidated text, Journal of Laws No. 101, item 926, as amended), I consent to the processing of my personal data for the purposes of the School for Leaders recruitment and participation, and agree to their publishing after my participation in the Program is confirmed. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms