Professional Documents
Culture Documents
MC No. 2019-014
MC No. 2019-014
Bio-Sheet B 2
“TYPE OR COMPUTER-GENERATE IN ENGLISH USING BLACK INK ONLY.
17. CURRENT OCCUPATION
[NAME AND ADDRESS OF EMPLOYER voorme ‘START DATE OF EMPLOYMENT.
(Month and Yeu)
18. DESCRIBE YOUR CURRENT MAJOR JOB RESPONSIBILITIES.
18, PREVIOUS POSITIONS HELD (B0gin wih tha most recent employment)
DATES OF ENPLOVIENT
NAME AND PLACE OF EMPLOYMENT sostme (Moat and You)
fom
1 1
' '
' '
20_ COMPUTER KNOWLEDGE AND LEVEL OF SKILL
EXCELLENT ‘GOOD, FAIR POOR
Word Processing oO o o a
‘Spreadshools| oa o o oa
Presentation oa o a is}
E-mal and internet oO o o a
21. LIST COUNTRIES OUTSIDE YOUR OWN, INCLUDING THE UNITED STATES, IN WHICH YOU HAVE LIVED, TRAVELLED, OR STUDIED,
(Please ist dats (manthsyears) and reasons foreach vist. Attach an addhional sheet, i necessary)
DATES OF VST
[REASON FOR VISIT
‘coun visrTED nd Yoo)
fener (1 tty, work touram,confrence) =e 1
’ 1
' 1
' 1
22,_PERSONS TO BE NOTIFIED IN CASE OF EMERGENCY
Tn home county Ta the United Statoe
Name: Name:
Ades: addioss:
‘Teephone: Mobi: “Teephone: Mobie:
Relationship: Relationship
CERTIFICATION: I certify that all information given inthis application is complete and accurate tothe best of my knowledge. Lacknowledge
‘hat | have completely read and understood the Information and Application Instructions and | agree to comply with all
_ogulations described there.
DATE ‘SIGNATURE OF APPLICANT (Required: You must sign herein INK)
HORPIREYPELLGWSTP PROGRAN RPPUCATIONCD
WO VW
<)> Personal Statements A 4
“TYPE OR COMPUTER-GENERATE IN ENGLISH USING BLACK INK ONLY.
[NAME OF APPLICANT.
Wiis narrative deseription/eceay answering each of the foloning hvee questions (#24-28). Please lint your responses fo the epace provided.
‘24, Please deceive how you have demonsirated a etrong commitment to public carve in your profeccionalperconsl fe (Lo
responssiltios, communty or eve Ivelvemont. ote)
rofessionel
25. Pleas state you professional goals forthe next five years and incicate how tha raining recaved under the Humplirey Program wal contbute to your
‘managerial sits, leadership ebilty, and commimento public service, How wil the Humphrey program help you reach these goals?
HOM REY FETS HST PROGR APPA TON2