PCSC Internship Application Form
Autumn 2019 - Spring 2020
Email address *
1. Name and surname *
Your answer
2. Phone number (include country code) *
Your answer
3. Social media (links to Facebook, VK etc.) *
Your answer
4. Skype
Your answer
5. Citizenship *
6. Place of residence *
Your answer
7. Your current organisation and your position there *
Your answer
8. Brief description of your organisation (max.150 words) *
Your answer
9. Contact information of your organisation *
Website and/or social media
Your answer
10. Personal referee from your organisation *
Name, organisation, position, email, phone
Your answer
11. Two professional references from people outside your organisation *
Referee 1 (Name, organisation, position, email, phone)
Your answer
*
Referee 2 (Name, organisation, position, email, phone)
Your answer
12. Short professional biography and main achievements *
Please indicate your specific expertise (200 words max.)
Your answer
13. Language level proficiency *
Please indicate your language level of both English and Russian on the scale from 0 to 10 ( 0 - "do not speak the language" and 10 - "speak and write fluently"). Also include other languages you speak
Your answer
14. Please choose a preferred time slot for your internship *
Required
15. How many days will your internship last? *
It can last from 30 to 60 days
Your answer
16. Name and contact details of the host organisation *
Name, city, country, website
Your answer
17. Short description of the host organisation and your motivation *
Describe the specific expertise of the host organisation. Please briefly explain why you have chosen the organisation and what you expect to gain from the internship.
Your answer
18. Name and contact details of the person who will oversee your internship in the host organisation *
Your answer
19. Title of your internship project *
Your answer
20. Briefly describe your internship project and its goals (150 words max.) *
Your answer
21. How will it be benefit for your future work and organisation? *
Please describe how contacts with the host organisation and the experience, that you will gain, will help in your future activity
Your answer
22. What is the proposed output of the internship and who would be the beneficiary? *
The internship can be an article, paper, policy recommendation, presentation, seminar, video etc.
Your answer
23. How will you disseminate the project output (a final product)? *
Your answer
24. What makes you qualified to carry out the project? *
Please include a description of any work you have already accomplished in the field of your planned internship as well as links to any articles and papers
Your answer
25. Can your internship output be completed and submitted within a month after finishing the visit to the host country? *
If not, please indicate a preliminary date when you expect to complete the final output
Your answer
26. List any other local institutions/organisations/individuals you would like to establish contact during your internship. Please also include any relevant conferences or events.
Your answer
27. Have you participated in any PCSC events before? If yes, please indicate what events and when *
Your answer
28. Other fellowships, scholarship programmes, study trips or exchanges in which you have participated in the last 3 years.
Your answer
29. How did you learn about the Internship programme? *
30. Personal data *
Required
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