Application form

Advanced Training Program for Senior and Middle-level Government Officials

 Training Course (Please tick one box only)

□ Advanced Training Program on Environmental Sustainable Development
□ Advanced Training Program on Organizational Leadership and Human Resources

 Instructions
The candidate should complete this form in English in typescript. Each question must be answered clearly
and completely. Detailed answers are required in order to make the most appropriate arrangements. If
necessary, additional pages of the same size may be attached.

1. PERSONAL DATA

a.Name Dr./Mr./Mrs./Miss
Castellón Martínez_Surname (Last Name)
Manuel__________Middle Name
Victor___________Given Name (First Name)
(as shown in your passport)
b.Home address Americas #2, Bo. G. Pomares, transagro 1c. N. 5
And. E. 1c. S. 30 Vrs. E.

Tel：22520474 / 82402601
c.Nationality Nicaraguan E-mail address: Vcastellónm@unan.edu.ni

□Male　　　□Female □Single □Married

d.Sex e.Marital status
□Other

f.Date of birth (Month) 14 August (Year) 1995 Age: 24 years old

g.Religion -

h.Health condition I am good

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 □No
i.Chronic disease
□Yes

j. Dietary restrictions □No

□Yes

k. Language Listening Reading Writing Speaking

proficiency Excellent Fair Limited Excellent Fair Limited Excellent Fair Limited Excellent Fair Limited
English X X X X

Contact person Name：Claudia Carolina Martínez López

Relationship：Mother
(In case of
Address：Bo. G. Pomares, Transagro 1c. N. 5 And. E. 1 C. S. 30 vrs E.
emergency)
Tel：22251379 / 83861395

2. PRESENT EMPLOYMENT

Date of Employment
a. Job Position Human Resources Analyst Since: 12 (Month) 01 (year) 2014

b.Department or
Division of Human Resources
Division

c. Name of
Universidad Autonoma de Nicaragua-UNAN Managua
Organization

d. Address Tel：22708231
Fax：

□Govt. Ministry/ Agency □University/ Institution □Govt./State Owned Enterprise

e. Type Of
□Locally Owned Enterprise □Joint Venture □Foreign Enterprise
Organization
□NGO □Other 　 　

f.
Present Job Duties （Years of employment - maximum 750 characters）

Office Assistant (1 year)- UNAN-Managua

Human Resources Analyst (4 years)- UNAN-Managua

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g. 1. Name: Sandra de los Angeles Guevara
Contact Person
Position: Office Responsible
(Please leave the
contact information of
E-mail: Sguevara@unan.edu.ni
your supervisor or
colleague for evaluation
2.Name: Karla Vanessa Aburto Araica
after the
workshop/seminar.) Position: Human Resources Analyst

E-mail: Kaburto@unan.edu.ni

3. PURPOSE OF APPLICATION

a.
Current Issues：

Describe the reasons for your organization claiming the need to participate in the training program, with
reference to issues or problems to be addressed (maximum 750 characters).

At present, every day we play in a world and changing environment within the institutions or organizations
where immediate opportunities are generated as is the opportunity to be part of "Advanced Training Program in
Organizational Leadership and Human Resources "with the following purposes:
Motivated and committed partners in the achievement of institutional and personal goals.
Acquire skill and experience in the development of the processes of Human Resources Management in relation
to other cultures.
Strengthen institutional identification.

b.
Objective：

Describe what your organization intends to achieve through participation in the training program (maximum 750
characters).

Participate in the "Advanced Training Program in Organizational Leadership and Human Resources "will allow
us to:
Achievement of individual goals.

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Decision making
Planning and management work regarding the goals.
Achieving communication clearly and directly with members of the HR team UNAN-Managua.
Promote unity with the team.
Implementing continuous process improvements made

c.
Personal Goal：

Describe what you intend to achieve by participating in the training program in relation to the organizational
purpose described in Sections 3-a and 3-b (in maximum 750 characters).

Participate in a training Organizational Leadership and Human Resources motivates me being a part of a
continuous improvement to my personal goals putting them into the institution that currently serve with the goal
of providing every day more effort and knowledge in the performance of my duties.

Implemented in the institution, an optimal working environment where you share the knowledge acquired with
the group of Human Resources. Increase knowledge, improve performance, gain new skills and develop skills
from the perspective of new cultures.

d.
Previous training with TaiwanICDF □Yes □No
Program Title:
Period:

4. EDUCATION AND TRAINING (Highest diploma only）

Qualifications
School Subject (Certificate / Diploma / Year Obtained
Degree)
ULAM Accountant Diploma Graduated

5. PREVIOUS EMPLOYMENT/JOB EXPERIENCE (For each previous job experience）

Position Organization Period of employment Job Duties

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 6. DECLARATION BY CANDIDATE

1. I hereby declare that the information as provided by me in this document is true and
accurate. I understand and accept that any false declaration of information on my
part will disqualify me from the program, even when it is in progress.
2. I declare that I am not suffering from any serious disease and that I am not hindered
in the performance of my duties by any illness or disability.
3. I hereby undertake to abide by the laws of the Republic of China (Taiwan) during my
stay in Taiwan and undertake to do the following:
1.1 Fulfill due performance as required in attendance.
1.2 Not seek employment or engage in any political activities.
1.3 Bear any additional expenses or risks incurred as a result of any changes
initiated by myself.
1.4 Not bring with me any family member or friends.
4. I fully agree that the TaiwanICDF has the right to terminate the eligibility of my
training if, during my stay in the ROC (Taiwan), my behavior causes serious
difficulties for the management of the TaiwanICDF or the training institution.
5. I understand that during my stay in the ROC (Taiwan), only those matters related to
the training program will be settled in accordance with the TaiwanICDF’s rules and
regulations, and that the TaiwanICDF’s decision will be final and will be
implemented accordingly. Cases irrelevant to the training program shall be
otherwise of my own responsibilities and at my own cost.
6. 6. I consent to the TaiwanICDF transferring information provided by me to its internal
personnel, to the Ministry of Foreign Affairs, Republic of China (Taiwan), and to my
country’s embassy or representative office in Taiwan, for statistical purposes and to
generate and store a record of emergency contact information.

6.

Signature:_______________________
Date:___15/05/2019_____ Name: Victor Manuel Castellón Martínez

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