Women and Political Influence
Empowering women on the local level (Armenia & Lebanon)
APPLICATION FORM
Application deadline: 10 September, 2018 (Monday)
Family name *
First name *
Party *
List of local party/public functions: *
Any other political functions: *
Date of birth: *
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/
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/
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Country: *
City: *
Postal code: *
Street and house number: *
Mobile phone number (with country code): *
E-mail address: *
Passport number: *
Valid until (Please check your passport!): *
MM
/
DD
/
YYYY
Do you need a visa to Lebanon? *
Required
Profession *
Mother tongue *
Other language skills:
English skills
Listening *
basic
excellent
Reading *
basic
excellent
Interaction *
basic
excellent
Production *
basic
excellent
Writing *
basic
excellent
Work experience
Dates, Name of employer, Type of business/sector, Position, Main activities and responsibilities
Experience 1 *
Experience 2
University educaion and training
Dates, Name and type of organisation providing education/training, Subject area, Title of qualification
University education and training 1 *
University education and training 2
Delegating party: *
Contact person/referee (with exact party position): *
Phone number: *
In case you are accepted to attend the course, what topics would you like to see in the programme? *
Please list other similar trainings you have taken part in:
Field of expertise / areas of interest: *
letter of reference (pdf or jpg): from the delegating party (not a youth organisation!), signed by a responsible official such as an International Secretary or Presidency member (including a declaration on travel costs) *
Required
A one-page motivation letter on - why the candidate is interested in getting involved in this field - how it may be useful for her political work - example of involvement with advancing women’s political influence: describing personal role in a relevant concrete activity- vision of own position 5 years from now *
Required
Copy of passport (main page with photo) *
Required
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