Ansøg om at komme til Palæstina

* Information with one asterix you have to fill out

** Information with two asterix will not be used as part of the selection process, but will help to determine how best to match people, skills and placements.

Name*
Address*
Permanent address (if different)

Emergency

In case of emergency, who should be notified?

Name*
Address*

Family situation

Education

Please give dates of attendance at schools and colleges

Work Experience

Please give details of your work experience starting with your present/most recent employment

Volunteer Experience

Please give details of any volunteer work

Knowledge of Israel-Palestine

Please tell us about your knowledge of Israel-Palestine

Knowledge of Languages

Please tell us about your language knowledge

Please indicate your level of proficiency in each language by ticking the appropriate box and give details of any other languages you know

Technological literacy

Please give your level of competence with computers, mobile phones and digital cameras

Exposure to other cultures and faiths

Experience of writing and research

Writing articles for publication is a requirement for the programme. Please give brief details of any reports or articles you have written with dates and purpose

Active involvement

Advocacy work

Team work

EAPPI expects participants to live and work closely in teams with people of different countries, age, gender, and background

Motivation

Referees

Please give the names of three referees (NOT relatives) who have known you for at least one year

Name of 1. referee*
Name of 2. referee*
Name of 3. referee*

Health

Please note that this section on your health is integral part of the assessment procedure. It will also help to determine which placement is most suitable in case you need any medical treatment while in Israel-Palestine. Please make sure you answer both questions carefully. Providing misleading information about your health may lead to the discontinuation of your term as an Ecumenical Accompanier.

Feedback

Declaration

Name of applicant*
DD slash MM slash YYYY
Day/month/year
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