Application form for EUMM GEORGIA
NATIONAL STAFF VACANCIES

(to be sent by e-mail to human.resources@eumm.eu)

1. NOMINATION DETAILS (indicate positions applied for) 
Location 	
Title of Vacancy:	

	

2. PERSONAL DATA
Last name	
     	
First name	
     	

Birth date 	
(dd/mm/yyyy)      	
Country of birth	
     	

National ID card no.	
     	
Gender	
Male     Female  	

Present nationality	
     	
Other nationality	
     	

Driving license	
Yes         No  	
If yes, category:	
     	

3. CONTACT DETAILS
Home address	

Street       	
Zip/postal Code      	

Town/city      	
County/state/province      	
Country      	

Telephone no.      	
Mobile no.      	
Email address      	

Alternative/current contact details 	

Street       	
Zip/postal code      	

Town/city      	
County/state/province      	
Country      	

Telephone no.      	
Mobile no.      	
Email address      	

4. EDUCATION AND PROFESSIONAL TRAINING
University education or equivalent	
Attended (dd/mm/yyyy)	

Name institution / university, place and country	
Degrees/qualifications obtained 
(Title of qualification awarded)	
Main course/field of study	
From:	
To:	

     	
     	
     	
     	
     	

     	
     	
     	
     	
     	

Secondary  & College education and/or formal vocational education/training 	

Name institution / place and country	
Degrees/qualifications obtained 
(Title of qualification awarded)	
Main course/field of study	
From:	
To:	

     	
     	
     	
     	
     	

Other courses, please indicate courses attended relevant to the post you apply for	

Name institution	
Place and country	
Course title	
From:	
To:	

     	
     	
     	
     	
     	

     	
     	
     	
     	
     	

     	
     	
     	
     	
     	

5. EMPLOYMENT RECORD (in reverse chronological order)
Current/most recent position 	Current position:   Yes      No 	
Organisation	Place and country	Job title	Date (dd/mm/yyyy)	
			From:	To:	
     	     	     	     	     	
Full time job          Yes               No      	
Description of tasks and responsibilities. 
     

Supervisor’s name:      	Email:      	Phone No.:      	
Previous position (1) (only positions longer than 6 months)	
Organisation	Place and country	Job title	Date (dd/mm/yyyy)	
			From:	To:	
     	     	     	     	     	
Full time job          Yes               No      	
Description of tasks and responsibilities. 
     

Supervisor’s name:      	Email:       	Phone No.:       	
Previous position (2) (only positions longer than 6 months)	
Organisation	Place and country	Job title	Date (dd/mm/yyyy)	
			From:	To:	
     	     	     	     	     	
Full time job          Yes               No      	
Description of tasks and responsibilities. 
     

Supervisor’s name:      	Email:      	Phone No.:      	
Previous position (3) (only positons longer than 6 months)	
Organisation	Place and country	Job title	Date (dd/mm/yyyy)	
			From:	To:	
     	     	     	     	     	
Full time job          Yes               No      	
Description of tasks and responsibilities. 
     

Supervisor’s name:      	Email:      	Phone No.:      	
Other previous positions and positions shorter than 6 months	
Organisation	Place and country	Job title	Date (dd/mm/yyyy)	
			From:	To:	
     	     	     	     	     	
     	     	     	     	     	
     	     	     	     	     	
     	     	     	     	     	

6. OTHER SKILLS 
Languages (European level *)	Native language:      	
Other languages	Speak	Write	Read	Understand	
     	     	     	     	     	
     	     	     	     	     	
C1, C2 = Proficient; B1, B2 = Independent User; A1, A2 = Basic User
(*) Common European Framework of References for Languages

Computer skills	
Word processor	     	Web browsing	     	Presentations 	     	
Spreadsheets	     	Financial software	     	Project management	     	
C = Proficient User; B = Independent User; A = Basic User; N/A

7. REFERENCES
Please provide minimum of 2 persons who will provide a reference. NO RELATIVES 	
NAME	COMPANY	EMAIL	TELEPHONE	
     	          	     	     	
     	          	     	     	
     	          	     	     	

8. MOTIVATION AND ADDITIONAL INFORMATION
Please explain the reasons for your application, covering your profile and particular interest in this position. Add any other information that might be relevant to your application, including any skills, knowledge and experience for which there was no space above. 	

	

9. FINAL QUESTIONS
Please read and answer carefully all questions 	
Do you have any objections to our making enquires of your employers?	Yes      No   	
Do you have any objections to undergoing a medical examination prior to employment?	Yes      No   	
Are you regularly taking any medication?	Yes      No   	
Is any relative of yours, to the best of your knowledge, working in EUMM Georgia	Yes      No   	
Have you ever been convicted or sentenced in any criminal proceedings (excluding minor traffic violations)?	Yes       No  	
Do you have any objections to undergoing Security checks prior to/during employment?	Yes       No  	
If you responded “yes” to any of the previous questions, please provide details	
     

By submitting this application form, I certify that the statements made by me in answer to the foregoing questions are true, complete and correct to the best of my knowledge and belief. I understand that any misrepresentation or material omission made on the Application Form will result in the application being void and will result in termination or dismissal from the mission	I agree: 

Yes       No  	
Place
	Date	Signature (typed name is sufficient)	

If selected for interview you will be requested to supply documentary evidence which supports your education and other statements you made above. 
Do not send any documentary evidence until you have been asked to do so.

Please submit the completed form as a MS Word Document