candidature en ligne cohort15 Lead

COHORT 15 RECRUITMENT : Application online

Deadline : 09/02/2010

Please note : the form must be filled in english

GENERAL INFORMATIONS

Family Name *

First name

Sex : Male ? Female?

Date of birth

If you are aged 40 please to check box

Email (X)*

Please be aware this email is correct we will first contact
you by email

Skype

Office number

Home number

Mobile phone

Home address

Fax

where are you living now present

Nationality

EDUCATION

Highest degree obtained

Subject

Year received

Institution's name

Country

Others degrees :
degree 1 year
degree 2 year
degree 3 year

Other relevant training & qualifications :

PROFESSIONAL BACKGROUND

Current employer

Department

Sector :
Government administration/elected officials (Public service, Parlementarians, Aadministration...)
Business/Industry (Private sectore, Bank, finance...)

Media NGO Academia/Education (Researchers, Professors,) other (please specify):

Address :

Tel.:

Website :

Start date :

Job title :

Summary desciption of your position & responsabilities

previous employer 1 Position	Institution	Year

previous employer 2 Position	Intitution	Year

RELEVANT ACHIEVEMENTS

LANGUAGE :
the working language of Lead is English, and prospective candidates need to be comfortable working in English in order to fully participate in the program and maximise their learning.
Please indicate your skill level below

Native langage

	excellent	Good	Poor
reading
speaking
writing

COMPUTER SKILLS

Access to Internet ? : home office cyber cafe

How often ? : full time once a week twice a week week days week end

Please tick the type of software you have used for work or for communication

online discussion forum	virtual social networking	presentation ( Word, Excel, MS office powerpoint, Open Office)
Graphic & web Design databases others

INFORMATION ABOUT YOUR APPLICATION AND INTEREST IN LEAD
where did you hear about the programme Lead

Newspaper, magazine.

Website

Search engine

Lead fellow Lead Association
Are you Lead Association member ? YES NO

REFERENCE(S)

Supervisor ( referee 1) : current Employer

organization

Position

Tel

Referee 2

Organization

Position

Tel

Referee 3

Organization

Position

Tel

BRIEF BIOGRAPHICAL DESCRIPTION (Aims, skills and motivation)
We encourage participation of emerging leaders from all professional backgrounds, and recognise that the reasons for engaging with sustainable development issues may vary across different sectors. We also value the range of skills and perspectives that diverse professionals can bring to sustainable development solutions during the LEAD Programme, and later as part of the LEAD network.

Please answer the question below to help us understand your unique ability to contribute

Why do you want to join the LEAD Programme in Leadership for Sustainable Development? Your answer should address what sustainable development means to you and how it relates to both your personal and professional life.