ITP - Application

Human Rights Based Approach

General Information

The Application should be completed and submitted to the programme secretariat of the International Centre for Local Democracy no later than December 31st, 2020.

Applications received after this date will not be considered.

If you have any technical difficulty in completing the form, please send an email to erika.berglin@icld.se

Information

In order to complete the application please make sure you have the following documents saved on this computer:
1) A pdf or jpg copy of your passport if you have one, otherwise it could be added later on.
2) A passport-sized photo in jpg or gif-format (Preferred). Pdf format is also accepted for your photograph.
You cannot save data in this form. You need to complete the entire application and submit it during the same session. You can copy text from other programs in the boxes where text is required.
For any text, please use latin letters A-Z and a-z. Cyrillic letters can not be used.

APPLICATION FORM

Please fill out all questions in the application form. Questions marked with an * must be responded to.

Applicant's first name as in passport. Please include all given names separated with a comma.

Last name as in passport. Please use only latin letters (a,b,c....,vwxyz) no cyrillic letters.

Please state the country you work in. (You must live and work in one of the countries Albania, Bosnia and Herzegovina, Georgia, Kosovo, North Macedonia, Moldavia, Montenegro, Serbia, Turkey or Ukraine to be eligible for this training).

Nomination

The applicant is nominated by the regional or local authority mentioned below, in accordance with local rules.

Name of authorizing organisation

Title, position and full name of authorizing official or authorizing supervisor.

Date of authorization; use format: YYYY-MM-DD

A brief text on the reason for the nomination. (Can be pasted from an email or document).

By checking this box, the applicant certifies that the nomination is correct.

PERSONAL HISTORY

Last name as in passport. (Please use latin letters only. Cyrilllic letters cannot be used).

First name as in passport. Please separate names with a comma. (Use only latin letters. Do not use cyrillic letters).

Last name, First name (Your name if different from name as in passport).

Office address.

Office address c/o

Office address row 2.

Office Postal code

Office address: City

Country of office

Please indicate your primary email, the preferred email for any communications regarding the application and the training.

Telephone Office (Start with country code).

Home address

Home address c/o

Home address row 2

Home Postal code

Home City

Home country

E-mail (home). Please indicate a secondary email if you have such an email. Leave blank if you only use one email and have already indicated this under "Primary email" above.

Telephone (home) (Start with country code)

Mobile phone (Start with country code). If you don't have a mobile phone, please add "0" in the field.

Skype address

Nationality

If you have stated "Other" as your nationality. Please state your nationality here.

Date of Birth (Please use format: YYYY-MM-DD)

Airport of departure for international travel

Do you have a valid Schengen Visa?

Yes No

Enclosed a copy of Schengen Visa. After completing the application and pressing the button "Apply" you will be directed to a page where you can upload a copy of your visa.

Passport number

Enclosed copy of passport. After submitting the application you will be directed to a page where you can upload a copy of your passport.

Add a passport sized photograph. After completing the application and after submitting the application by pressing the "Apply" button below you will be directed to a page where you can upload a photograph.

Sex

Female Male Other

Please state your highest level of education

State the name of the institution and place of study for your highest level of education

List memberships of any professional society as well as any activities you are engaged in regarding civil, public or international affairs.

List any publication you have written

Any other education you would like to mention?

Have you ever studied or worked in another country? If so, where (state the name of the country) and for long and what did you do?

Have you participated in a Swedish International Training Programme, ITP, before? Please note that if you have participated in a Swedish ITP you cannot again participate.

Yes No Don't know

Employment records

Please give details of your duties and responsibilities for each of the posts you have occupied for the past five years.

Title of your present position

Indicate the number of years you have served in your present position

Type of organisation

If you indicated "Other" in the question above, please state here the type of organization you work for.

Please write the title of your supervisor

Last name of your supervisor. Please use latin characters only. No cyrillic characters.

First name of your supervisor. Please use latin characters only. No cyrillic characters.

Email of your supervisor.

Name and address of your employer:

Description of your work, including your personal responsibilities and achievements you have contributed to:

Reason for applying, computer knowledge

Please fill in the below questions

Please state briefly your reason for applying to this programme, your main fields of interest within the programme and how you hope your organisation to benefit from the programme.

Describe you and your organisations network within the are of Human Rights

Please state your level of proficiency in using computer software:

* Word

* Power Point

0 - No knowledge 1 - Some experience 2 - Can create a simple presentation 3 - Know how to edit and create new presentations 4 - Proficient user 5 - Expert user

* Excel

I have access to email and to Internet

Language Skills

The Common European Framework of Reference for Languages (CEFR) is a framework of reference for assessing proficiency of foreign languages. The CEFR describes foreign language proficiency at six levels: A1 and A2, B1 and B2, C1 and C2. To participate in the ITP you need to have a level of English equivalent to at least B1 but preferably B2. Please read through the document you can find at Reference_for_Languages carefully and assess you own level of English. Be prepared to show your level of English in an interview before acceptance to the program.

I assess that my level of English is as follows for the different proficiencies:

Proficiency CEFR level - Listening

Proficiency CEFR level - Reading

Proficiency CEFR level - Spoken interaction

Proficiency CEFR level - Spoken production

Proficiency CEFR level - Writing

I hereby certify that the above statements of my English level is accurate

My team's project for change

Please describe your project of change including:
1) Description of the situation you wish to address.
2) Why this is a problem and for whom?
3) Description of the team that you have identified, what makes you suitable to address the problem?

My team consists of the following members: Please state the first name and last name of each team member start with yourself. Please note that the team shall consisst of at least one elected positician, at least one official from municipal or regional councils and administrations. One team member can be from a voluntray organization. Each member of the team must fill in an individual application.

The team's project for change is mainly related to the following programme module

Describe the team's chosen project for change. Each team member should here provide the same text in their individual application forms. You can paste from another program into the box. Maximum is 8000 characters. Please see the instruction above and in the invitation brochure.

Medical statement

I do not have any infectious diseases (for example tuberculosis or trachoma) or any other illnesses which could present risks to persons that I will come in contact with.

I do not have any medical conditions which prevent me from carrying out training away from home.

I am in good health and enjoying full working capacity.

Yes No

Comment

In order to participate in the training I require

Other functional variations I have that require attention from the organizers:

Any other comment about my health:

General Data Protection Regulation, GDPR

I hereby confirm that my personal data may be used for ICLD needs for this programme and shared with programme team, mentors, lecturers, travel agencies, hotels and Sida.

During the program ICLD may take still or video images. This will be used by ICLD in its communication (web, social media and publications). In consideration of ICLD’s efforts foster local democratic engagement in the interest of human development, and of the non-profit nature of ICLD’s work, I understand that I will not be entitled to receive any payment in the photographs.”

Yes, I agree to be a part of the picture or movie, No, I prefer not to be part of the picture or movie.

If you need further information please see here: Integrity Policy

Code of Conduct

By applying to this training programme, you are agreeing to the ICLD Code of Conduct that includes the values and expectations of our partners, participants and employees.

To participate in ICLDs programmes you agree to NOT:
* Discriminate against anyone irrespective of their race, tribe, gender, sexual orientation, physical
ability, partly affiliation, language and religion.
* Participate in any form of sexual harassment, physical or verbal, including the buying or selling of
sexual services.
* Participate in any form of corruption, cheating, misuse of funds or nepotism

Violation of any of these key values may be cause for dismissal from the programme.

All training courses are open to anyone, irrespective of physical ability. If you have any type of physical challenge, please let us know so that we can resolve any practical issues tht may arise.

By checking the box I have read, understood and accepted ICLDs Code of Conduct

Signature

I certify that my statements in response to the questions in this form are true, complete and correct to the best of my knowledge and belief.
If selected as a participant I understand and accept that I must devote sufficient time during the programme as I have been informed and as instructed by the programme management.

By checking the box I certify that my statements in this form are all accurate, complete and true to the best of my knowledge and belief.

Date

If you are put on the short-list for the training you will be contacted for a telephone or a skype interview.
If you are selected as participant, you will be notified by e-mail. Please check carefully that the email address you have stated above as your work email functions, is correct and is regularly checked.

Further information

For information or questions regarding the programme, please contact: Jim Enström Programme Officer, ITP, E-mail: jim.enstrom@icld.se

After submitting your application by clicking the "Apply" button, you will be directed to a page where you will be prompted to upload a pdf or jpg copy of your passport and a passport sized photograph.

After submitting your application you will receive a "Success notification" including a registration number. Please note the number and keep it for any future correspondance with the ICLD.

ITP Application

NOTICE: You are modifying the application: ITP-2020-2436. If you wanted to send a new application, for example if a colleague also wanted to apply, please click here.