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THE MAY 18 MEMORIAL FOUNDATION

APPLICATION FORM
Application deadline: May 31, 2010
Period of event: August 30 – September 17, 2010

Categories (please check box)


Senior/Director Position Middle manager/Supervisory Position Junior Staff
more than 15 years experience 5-15 years experience 2-5 years
experience

A. Organizational Information
Name of organization:

Name of the Head of organization:

Title/Designation/Position : Gender:
Address:

Telephone: Fax:

E-mail: Web site/blogsite:

B. Personal Information
Legal name as Given name/s:
in your
passport
Surname (Family):

Attach photo Gender: Date of birth (DD,MM,YY): Age

Nationality: Language/s spoken:

Telephone: Fax:

Mobile Phone: E-mail:

Address:

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Name and address of person to be notified in case of emergency:

C. Educational Background
Institution From To Degree/Studies

D. Work Experience
Organization From To Position

E. Trainings, Conferences, Workshops, Seminars Attended


Title Country/Host/Spons Inclusive Dates
or

F. English Language Proficiency (please check)


Category Poor Intermediate High
Understanding
Writing
Speaking
Reading

(Please attach a scanned certification like IELTS, TOEFL, etc which demonstrates your English language ability.)

G. Passport Details
Passport Number Place Issued Date Issued Date of Expiry

Complete Name
(Surname/family, Given Name)

H. Medical/ Health Record


Height: Weight: Blood Type:
Drink: Smoke: Common Illness:

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Allergies: Medications: Diet:

For females – Are you pregnant?

I. Additional Documentation ( in support of your application)


Please ensure that the following documents are submitted with this application (scan PDF format and send
as email attachments):

11 A scanned copy of your valid and not expired passport.


11 Curriculum Vitae/Resume detailing on your work and job responsibilities.
11 An application letter describing your interest in the Folk School signed and endorsed by your
superior or the head of your organization.
11 Expectations, objectives, focus of interests on the human rights folk school.
11 Proof of organization’s legal identity or registration.
11 Passport-size photo

J. Personal Undertaking/ Organizational Consent/ Endorsement


I the undersigned hereby declare that I have completed this application accurately and truthfully. I
understand that the Gwangju Asian Human Rights Folk School prohibits me from bringing my family or
friends to Korea for the duration of the school program. I understand that my air travel and other Folk
School related expenses will be paid for by the Foundation during my stay in Korea.

Date Participant’s Name Signature

I hereby attest to the statement made above and recommend or endorse the participation of our staff to
the Gwangju Asian Human Rights Folk School.

Date Superior’s Name/Head of the organization Signature

K. Organizational Affiliation and Network


Name of Network Focus Country/Location

L. Biosketch
Please write a biosketch or a 3-paragraph (not more than 30 sentences) summary of your resume
describing yourself personally and professionally (skills, experiences, special trainings, achievements,
hobbies, interests, involvements and activities especially in the field of Human Rights, Democracy and
Peace).

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※ Please use extra sheet if the space provided herein is not sufficient. Thank you.
Note: Incomplete application forms will not be accepted. If selected, you will be notified by fax or e-mail.

Application form_ Gwangju Asian Human Rights Folk School 2010 4

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