Professional Documents
Culture Documents
Each year, over half of the applications received by Australia Awards Africa are automatically
rejected because they are received late, are incomplete or are from applicants that do not meet
the eligibility criteria for their country. Please take time to read these instructions carefully, read
the Eligibility Criteria (EC) and ensure you submit a full and complete application.
meet the age restrictions for the award which vary by country see the Australia Awards Africa
website: www.australiaawardsafrica.org for more details.
You are not eligible to apply for a Short Course under Australia Awards Africa if you:
currently hold an Australian Government scholarship
are married, or engaged to be married to someone who holds or is entitled to hold citizenship or
permanent residency in Australia or New Zealand
do not hold a B
are unemployed, or will not return to your current employer and current role after completion of the
Short Course Award
have ever been convicted of a serious crime, or are currently facing legal action or police charges in
any country relating to allegations of serious criminal activity
have committed or been involved in, or are under investigation for involvement in, the commission of
war crimes or crimes against humanity or human rights abuses.
Australia Awards Africa Australia Awards Africa Short Course Award Application Form: 2018 Intake ii
If any of the above are the case for you, please do not apply. Applicants will be required to provide a
statutory declaration attesting to their police record and awardees will be subject to screening processes.
Following endorsement by applicants of an authorisation in relation to use of personal information
(Declaration, page 20), names of successful nominated awardees may be published widely in the media.
EC,
and meet any necessary pre-requisites for your particular field of study, please fill out this application form
and submit it to the Australia Awards Africa by the due date of:
15 January 2018
For further information:
DFAT Scholarships: dfat.gov.au/people-to-people/australia-awards/pages/australia-awards.aspx
Australia Awards – Africa: www.australiaawardsafrica.org
Or contact us by email: enquiries@australiaawardsafrica.org
Attach the scanned file to an email message. Provide a meaningful subject line for the email, and send
to applications@adsafrica.com.au. REMEMBER: Send ALL documents, using the contact email
account you provide in the Personal Contacts of this form.
AFTER the form is filled in, print these pages:
- Signatures and Commitments
- Statutory Declaration
Yes, you can compress your documents as ZIP or RAR format archives. This may reduce the size of the
files and make them easier to send. You may include as many files in a single archive as you wish.
My documents are on my sky-drive. Can I just send you the link?
No. We do not accept documents submitted as links to any skydrive, dropbox or other internet location.
The document must be submitted as an attachment to an email message.
If I need to supply extra information, can I just provided it in the body of the email?
No. Messages sent to applications@adsafrica.com.au are automatically processed to extract the
attached documents, and are not read by our staff.
For more information on completing the e-Application, refer to:
http://www2.adsafrica.com.au/FormRequest/technical_tips_and_advice.pdf
The Submission Deadline for this form and all supporting documents is:
15 January 2018
Australia Awards Africa Australia Awards Africa Short Course Award Application Form: 2018 Intake iv
Late applications will not be considered.
Please note that we do not take into account the date of posting or submission to the courier company.
You must therefore post or courier your documents in sufficient time to arrive at their destination by the
submission date. Applications received after this date will not be considered.
Australia Awards Africa Australia Awards Africa Short Course Award Application Form: 2018 Intake v
Australia Awards – Africa Short Course Award
Application Form 2018 Intake
Personal Information
Title
■ Mr Mrs Ms Miss Dr
First Name / Given Name Romaric
(Enter your names as shown in your passport)
Middle Name (if applicable) Emmanuel
Current Age 28
Sex Female
■ Male
Australia Awards Africa Australia Awards Africa Short Course Award Application Form: 2018 Intake 1
Personal Contact Details
This is for your personal contact details. You will have an opportunity to provide your work address and
contact details later on in this form. The application process will take several months. You must provide a
current email address and phone number where you can be contacted while the selection process
proceeds. If you are not contactable, your application may not be considered.
Residential Address
Enter the address where you live. Do not ent
Efoulan
Province Centre
Country Cameroon
Home Phone Number Main: +237 694 268 691 Other: +237 999 9999 9999
Work Phone Number Main: +237 694 268 691 Other: +237 999 9999 9999
Mobile (Cell Phone) Number Main: +237 694 268 691 Other: +237 999 9999 9999
Email
This email address will be used for all
communication regarding your ouamboemmanuel@yahoo.fr
application. Specify an email account
that only you have access to.
Other Email
Enter one alternative email address ouamboemmanuel@gmail.com
(optional).
Postal Address
Postal address may be required if your application is successful. Leave blank if same as residential address.
ARPEDEL
Country Cameroon
Australia Awards Africa Australia Awards Africa Short Course Award Application Form: 2018 Intake 2
Emergency Contact Details
Provide details of a person who can be contacted in case of an emergency. This may be a relative or friend.
Title
■ Mr Mrs Ms Miss Dr
Antenne Télé
Country Cameroon
Home Phone Number Main: +237 696 185 461 Other: +237 999 9999 9999
Mobile (Cell Phone) Number Main: +237 696 185 461 Other: +237 999 9999 9999
Email jeanestag@yahoo.fr
(Specify one email address only)
Australia Awards Africa Australia Awards Africa Short Course Award Application Form: 2018 Intake 3
Eligibility
What type of organisation do you work for? Tick one only
Public Sector (i.e. government at any level or a recognised parastatal)
Private Sector (if you are self-employed in your own business you are not eligible to apply)
■ Civil Society (i.e. community, development or non-government organisation, faith-based organisation,
multi-lateral organisation)
Unemployed you are not eligible to apply. Please do not proceed.
Have you applied, or are you intending to apply, for citizenship or permanent residency in Australia or New
Zealand?
Yes not eligible. Do not proceed.
No
Do you have Australian or New Zealand citizenship or permanent residency?
Yes not eligible. Do not proceed.
No
Are you engaged or married to someone who has, or is eligible for, Australian or New Zealand citizenship
or permanent residency?
Yes not eligible. Do not proceed.
No
Australia Awards Africa Australia Awards Africa Short Course Award Application Form: 2018 Intake 4
Do you have a degree (or equivalent)?
✔
Yes
No not eligible. Do not proceed.
Are you currently employed, and will you return to your current employer and role?
✔
Yes
No not eligible. Do not proceed.
Have you ever been subject to any criminal or civil proceedings, or are you currently facing legal action or
police charges in any country?
Yes This will not necessarily disqualify you.
No
If YES, provide details of criminal or civil proceedings and complete the statutory declaration:
Have you ever committed, or been involved in the commission of war crimes or crimes against humanity
or human rights?
Yes not eligible. Do not proceed.
No
Australia Awards Africa Australia Awards Africa Short Course Award Application Form: 2018 Intake 5
English Language Proficiency
Participants in Short Courses must have a sufficient level of English to be able to participate effectively in
the courses they will be attending. All applicants must provide evidence or certification of their English
language proficiency.
Applicants should provide at least one (1) of the documents listed below:
If you have completed an English test in the past 12 months, please attach a copy of the test results.
A letter from your employer certifying that English is the working language of your work unit and that you
regularly communicate in English if this is indeed the case.
A letter from a previous academic institution certifying that English was the medium of instruction for
your studies.
Other proof of previous studies where English was the medium of instruction.
If you were awarded a Short Course Award, what level of support (such as from a translator) do you
believe you would need to benefit fully from the course?
■ None Occasional help to understand Regular translation
Please indicate what other English language-related support you feel you might need:
None
Australia Awards Africa Australia Awards Africa Short Course Award Application Form: 2018 Intake 6
Computer Literacy
Please answer the following questions to the best of your ability. This will assist Institutions to decide
whether to provide additional tuition.
How regularly do you use a PC?
■ Every day Often Occasionally Rarely Never
✔ Word processing software (e.g. MS Word)?
✔ Spreadsheet software (e.g. Excel)?
✔ Database software (e.g. Access, EndNote)?
✔ Operating Systems (e.g. Windows 10)?
✔ Presentation software (e.g. PowerPoint)?
✔ Email software (e.g. Outlook)
✔ Internet browser (e.g. Internet Explorer)?
✔ Statistical packages (e.g. SPSS or Minitab)
✔ Other Please indicate:
SPSS package; ArcGIS 10.2; QGIS; Erdas Imagine 2014; Idrisi Selva; Studio Pro 8; Adob
Professional Memberships
List any relevant associations and organizations. These may be community, cultural, political, scientific,
professional and/or educational organisations.
1. Association Name PAN AFRICAN RESEARCH CONSORTIUM
Position Head of GIS and Remote Sensing unit.
Start date 2015-07-13
End date yyyy-mm-dd
2. Association Name African Union Club
Position Program and Project Manager
Start date 2015-11-30
End date 2018-04-30
3. Association Name Young African Leader Initiative
Position Alumni
Start date 2016-11-06
End date yyyy-mm-dd
Australia Awards Africa Australia Awards Africa Short Course Award Application Form: 2018 Intake 7
Scholarships
Have you previously received, or do you currently hold, a scholarship funded by Australia or another
country?
Yes
No
If YES, provide details:
Scholarship Name
Name of Institution
Study Country
Qualification Received
Australia Awards Africa Australia Awards Africa Short Course Award Application Form: 2018 Intake 8
Disability Inclusion and Support
People with disability are encouraged to apply.
The United Nations Convention on the Rights of Persons with Disabilities describes persons with
disabilities as including those who have long-term physical, mental, intellectual or sensory impairments,
which in interaction with various barriers may hinder their full and effective participation in society on an
equal basis with others. quitable
participation in international development is outlined in Development for All 2015-2020: Strategy for
strengthening disability-inclusive developme . This applies to offering
opportunities in education for people with disability who are eligible to apply for an award.
If you answer yes it will not disadvantage you in the selection process. You will be given an opportunity
to identify any specific barriers and challenges that there may be in participating on the award. If you
are successful in your application and selected for an award, where ever possible appropriate
adjustments and support will be put in place so you can participate like others and benefit from the
award. By providing detailed information on your needs, appropriate support plans can be
developed and implemented with you.
If you answered YES above, please provide a short description of your disability:
If you answered YES above, how do you think that your disability may impact on your ability to
participate in the award? What adjustments or support may you require?
Australia Awards Africa Australia Awards Africa Short Course Award Application Form: 2018 Intake 9
PART 2: Proposed Studies
Which Short Course do you wish to undertake?
Preference 1
Increasing the development impact of Trade policy and negotiations
agricultural research
Public-Private infrastructure partnerships
Agribusiness Mineral and energy economics
Irrigation and Water Management for Local economic and social development in
Agriculture ■
extractives
Ocean Management Sustainable Fisheries Macroeconomic management for resource-
and Governance
rich countries
Preference 2
Increasing the development impact of Trade policy and negotiations
agricultural research
Public-Private infrastructure partnerships
Agribusiness
■ Mineral and energy economics
Irrigation and Water Management for Local economic and social development in
Agriculture
extractives
Ocean Management Sustainable Fisheries Macroeconomic management for resource-
and Governance
rich countries
If selected, are you able to take leave from your workplace to undertake a Short Course for up to three
months?
✔
Yes
No
Australia Awards Africa Australia Awards Africa Short Course Award Application Form: 2018 Intake 10
PART 3: Returning to Work
How applicants plan to use the skills acquired through their proposed studies is an important
consideration in assessing each application. Assessment will take into account the relevance of your
course choice to your current employment, and how you intend to apply your enhanced skills to benefit
your career, your employer and your nation.
Current Employment
Position title Program Manager
Please give the number of years and months of professional Years: Months:
experience you have gained since graduating with your first 5 5
tertiary level qualification (e.g. your degree):
Country Cameroon
Landline Number Main: +237 243 850 894 Other: +237 999 9999 9999
Mobile (Cell Phone) Number Main: +237 695 694 592 Other: +237 999 9999 9999
Australia Awards Africa Australia Awards Africa Short Course Award Application Form: 2018 Intake 11
Sector Of Employment
What sector do you work in? Please see the Instructions for guidance, then tick the one sector that is
Please note this question
refers to the sector in which your employing organisation operates, not the sector of your profession.
So, for example, if you are an IT professional working in an educational institution, you would select
yment
Agriculture Health
Animal-related Public Health
Irrigation-related HIV/AIDS
Plant-related Infrastructure
Other agriculture, specify below Maternal / Child Health
Mental Health
Clinical Rehabilitation
Other health, specify below
Development Studies Infrastructure
General Development including Rural Communications
development Public / Private Partnerships
Gender Project Management
Disability Services Energy
Peace and Conflict Transport
Other, specify below Other, specify below
Education Natural Resources Management
Education Leadership and Management
■ Environmental management, including climate
Tertiary change
Infrastructure Extractive industries
Curriculum Design Oceans
Technical / Vocational Education and Training Other productive sector, specify below
Special Education
Other, specify below
Governance Water and Sanitation
Public Policy (including Public Sector Reform) Water resources management
International Relations Sanitation supply and service delivery
Public Financial Management Infrastructure
Trade Policy Water supply and service delivery
Other, specify below Regulation of water and sanitation services
Other, specify below
Australia Awards Africa Australia Awards Africa Short Course Award Application Form: 2018 Intake 12
Reintegration Action Plan
Please complete your Reintegration Action Plan. This section is compulsory, and we strongly urge you
to discuss it in detail with your employer.
PART 1: Applicant’s General Expectations and Plan
Please list the skills and knowledge you expect to gain from this award. Please be as specific as possible.
Acquire knowledge and skills to assist local communities to take advantage of the resources and strengthen
the development of the communities.
Acquire knowledge and skills to assess the challenges and opportunities of mineral exploration for local
development.
Acquire knowledge and tools to assess the social and economic impacts of mining activities for local
development.
Acquire skills and knowledge to contribute to decent job creation at the local level in partnership with all the
stakeholders from the local level to the national level.
Acquire skills to defend the right of local communities to access natural resources, especially the most
vulnerable in the South and East Region who are youths, women and pygmies.
Get practical tools for supporting the local economy
Acquire knowledge to help build up a strong network for advocacy and reinforce local managerial activities in
mining sector.
Develop complex and critical thinking to solve environmental issues linked to mining sector.
development priorities, including those related to gender equality and social inclusion. Please provide
details, e.g. citing national plans, programmes or policies.
One of our main role as organization is to defend rights of local communities to access natural resources
and benefit from it; as well as the capacities building of youths and women to strengthen local communities.
with my role of program manager at ARPEDEL, I work to educate them on opportunities and benefits that
they can get from extractive industries located in their community. The issue that they are facing is high
unemployment rate (27% jobless and 75.5 underemployed: Ministry of jobs, 2016). One of the main issue
with local population is the lack of modern economic tools management and I will work to reinforce it.
According to the mining code of Cameroon (Dec 2016), communities should benefit from social investment
coming from mining activities and the government through the Growth and Employment Strategic Paper
(GESP) of Cameroon envisages the amelioration of the livelihoods of local communities and I will work with
partners to ensure that it is respected through advocacy.
Please describe how you expect to apply the skills and knowledge gained from this Award to improve
policy or practices at your current or future job.
The government is not aware of some malpractices that are going on at the level of local communities.
They rely on writing semester reports on mining communities based only on production data and local
transformation without assessing the immediate economic/social impact on the localities. this is due to lack
of a strategic development plan for local communities and corruption practices that are going on there,
making the sector dark for external partners. I will work with communities to develop and implement local
development plans, mastering of some keys texts of laws and regulations on their rights and returns from
mining activities, mapping of their natural resources located in mining permits and lastly the identification of
opportunities and challenges of mining for local economy. Simultaneously, I will engage communities and
partners in advocacy at the level of the government and companies to comply with their social
responsibilities toward communities and local economy.
Australia Awards Africa Australia Awards Africa Short Course Award Application Form: 2018 Intake 13
Part 2: Employer’s General Expectations and Plan
Note: This section should be completed by your employer or line manager.
Please explain what skills / knowledge you expect the Applicant to return with, and how your organisation
will use them.
The candidate works directly with local communities located in mining permit to evaluate the socioeconomic
and environmental impact of mining and extractive activities. therefore, he needs skills and tools to build the
capacities of those communities, especially youths and women to take advantage of these activities taking
place in their land. He will use the knowledge acquired to educate communities on how to participate in the
monitoring of mining activities, engaged them in advocacy for the respect of their rights, but also the respect
of the social responsibilities of extractive industries towards them and the environment. To do so, the
candidate needs good advocacy skills, and also good capacity to build network at the local and national level
to make sure that they request are reaching the right table. The candidate needs good negotiation and
reports writing skills to write good reports and help communities to get their share to develop local economy.
1
Identify and assess local communities issues, economics needs, assets, opportunities ■
and threats coming from the mining sector.
2
Participate and contribute in the designing and implementation of a strategic ■
development plan for local communities in the mining sector with the stakeholders.
3
Build up a strong network with traditional leaders, youths leaders, interested groups and ■
individuals to make the voice of communities heard, but also to monitor the
implementation of social responsibilities of local industries towards local populations.
4
Carry a research on the environmental impacts of abandoned mining sites in the East ■
Region and propose remediation and compensation measures for local communities
and prepare reports and strategic documents.
5
Propose policies to stakeholders related to job creation and local transformation by ■
engaging communities in structured and well planned local mining activities.
Australia Awards Africa Australia Awards Africa Short Course Award Application Form: 2018 Intake 14
PART 4: Curriculum Vitae
Full Name Romaric OUABO
Country Cameroon
Study History
Qualification Name Bachelor in Physical Geography
Country Cameroon
Language of French
Instruction
Start Date 2007-09-01 End Date 2010-07-09
Status
■ Complete Pending results Incomplete Withdrawn
Country Cameroon
Language of French
Instruction
Start Date 2010-09-11 End Date 2012-08-21
Status
■ Complete Pending results Incomplete Withdrawn
Australia Awards Africa Australia Awards Africa Short Course Award Application Form: 2018 Intake 15
Qualification Name Disasters and Ecosystems: Resilience in a Changing Climate
Country Cameroon
Language of English
Instruction
Status
■ Complete Pending results Incomplete Withdrawn
If you have received any academic awards or prizes, please provide details:
ANESI exchange program Jan. 2016, UNESCO.
Granted to travel for research exchange (on heavy metals in e-waste) to Ivory Coast.
Excellency Award from the president of Cameroon Republic from 2009 to 2011 at the University of
Yaounde I. Received prize for best students in order to encourage excellency during three years.
Employment History
Please start with your current position and work backwards
Employing ARPEDEL (Organisation for Research, Protection of the Environment and Local Developmen
Organisation
Location Centre
Country Cameroon
Australia Awards Africa Australia Awards Africa Short Course Award Application Form: 2018 Intake 16
Position Title Environmentalist and GIS facilitator
Employing ARPEDEL
Organisation
Location Yaounde
Country Cameroon
Country Cameroon
Location Yaounde
Country Cameroon
Australia Awards Africa Australia Awards Africa Short Course Award Application Form: 2018 Intake 17
Please summarize any earlier employment history here (year, position, employment organization)
Year: March to April 2014
Referees
Email gilmbzi@yahoo.co.uk
Surname TCHOFFO
Email srtchoffo@gmail.com
Australia Awards Africa Australia Awards Africa Short Course Award Application Form: 2018 Intake 18
PART 5: Commitment and Support
PRINT, SIGN AND SCAN THIS PAGE
Participate in case studies and other evaluations to inform Australia Awards of the
✔ Yes No
development effectiveness of the Australia Awards Africa Program
Maintain up to date contact details on the Australia Awards Alumni data base and
✔ Yes No
participate in Alumni activities after returning from your studies
I certify that with the exception of of the Reintegration Action Plan above, I
completed this application personally and that the information I have provided is true and accurate. I
understand that if I have provided false or misleading information my application may be disqualified and I
may be subject to investigation for fraud. If offered I agree to abide by the conditions of the award.
Signature Date
Australia Awards Africa Australia Awards Africa Short Course Award Application Form: 2018 Intake 19
PRINT, COMPLETE, SIGN AND SCAN THIS PAGE
Applicant’s Declaration and Signature
Authorisation
DFAT must comply with the Privacy Act 1988 in relation to the personal information you have provided in this form.
By submitting this form I authorise DFAT, or its appointed managing contractor, to access and/or obtain information,
including copies of any of my relevant academic records/reports from the education institution(s) that I have
attended for the following purposes:
for use in the selection process for an Australia Award
to monitor my academic performance at my host institution while studying under an Australia Award
to brief relevant Australian officials, Ministers and members of Parliament.
I also consent:
a) to the Australian Government using and disclosing extracts of my application (relating to my academic
background and achievements, leadership skills and my proposed study program in Australia) in promotional
material in hardcopy and on the Internet. I note that promotional material may include, but is not limited to,
Name
Signature Date
Australia Awards Africa Australia Awards Africa Short Course Award Application Form: 2018 Intake 20
Feedback Information
How did you first find out about Australia Awards Short Courses?
Email Brochure
Australia Awards Alumni Australia Awards Alumni
Australia Awards Africa
■ Employer
Media Event
Newspaper advertisement Australia Awards Event (please specify)
TV or Radio program Other Event (please specify)
Australia Awards Africa Australia Awards Africa Short Course Award Application Form: 2018 Intake 21
Submit Your Application
Submission Checklist
Please note that any applications that do not attach the required supporting documents, or that do not
meet all the submission requirements listed below will be treated as non-compliant and may be
disqualified.
Note: The interactive features of this page may not function in all PDF Reader software. For further
information, please refer to
http://www2.adsafrica.com.au/FormRequest/technical_tips_and_advice.pdf
Australia Awards Africa Australia Awards Africa Short Course Award Application Form: 2018 Intake 22
Supporting Documents
Please tick each item that is attached to your application.
Passport. Copy of data page, including photo, must be provided.
✔
. Mandatory for all applicants.
✔
. Copy of certified transcript is mandatory for all
applicants.
✔
English Language Proficiency
One or more of the following must be provided by all applicants.
IELTS, TOEFL or PTE test results
Letter from Employer certifying use of English in the workplace.
✔
Letter from university of your Bachelor degree confirming English as language of instruction.
Other Tertiary Certificate. For studies (longer than 3 months) undertaken since finishing your
Optional.
✔
Other Transcript of Results. For studies (longer than 3 months) undertaken since finishing your
Optional.
✔
Performance Reports from your current employer. Optional.
✔
Letter of support from your employer, indicating that you will be available and allowed to attend
the Short Course, and that your salary will continue to be paid while you are studying. Optional.
✔
Step 3: Submit this Application Form
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to Australia Awards Africa with your application form already attached.
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Save the form
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Australia Awards Africa Australia Awards Africa Short Course Award Application Form: 2018 Intake 23