Application form for EULEX KOSOVO INTERNSHIP SCHEME
(to be sent by e-mail to internship@eulex-kosovo.eu)
Annex II

1. APPLICATION DETAILS 
Post reference (specify the internship reference and office, compulsory):

     	

Sponsored application:   
(please tick the box if you are sponsored by your national authorities)

Direct application:          
(please tick the box if you are not sponsored by your national authorities and are applying directly to the mission)

2. PERSONAL DATA
Last name	
     	
First name	
     	

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

Passport no.	
     	
Gender	
Male     Female  	

Present nationality	
     	
Other nationality	
     	

	
If yes, category:	
     	

3. CONTACT DETAILS
Home country 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 (mm/yyyy)	

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

     	
     	
     	
     	
     	

     	
     	
     	
     	
     	

     	
     	
     	
     	
     	

Other relevant courses/training	

Name institution	
Place and country	
Course title	
From:	
To:	

     	
     	
     	
     	
     	

     	
     	
     	
     	
     	

     	
     	
     	
     	
     	

5. WORK EXPERIENCE (in reverse chronological order)
Current/most recent 	Current:   Yes      No 	
Organisation	Place and country	Job title	Date (mm/yyyy)	
			From:	To:	
     	     	     	     	     	
Description of tasks and responsibilities: 
     

Supervisor’s name:      	Email:      	Phone No.:      	
Previous position (1) 	
Organisation	Place and country	Job title	Date (mm/yyyy)	
			From:	To:	
     	     	     	     	     	
Description of tasks and responsibilities: 
     

Supervisor’s name:      	Email:       	Phone No.:       	
Previous position (2) 	
Organisation	Place and country	Job title	Date (mm/yyyy)	
			From:	To:	
     	     	     	     	     	
Description of tasks and responsibilities: 
     

Supervisor’s name:      	Email:      	Phone No.:      	
Previous position (3) 	
Organisation	Place and country	Job title	Date (mm/yyyy)	
			From:	To:	
     	     	     	     	     	
Description of tasks and responsibilities: 
     

Supervisor’s name:      	Email:      	Phone No.:      	

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. MOTIVATION AND ADDITIONAL INFORMATION
Please give a motivation for your application, covering your study profile and particular interest in this internship programme and how it fits with the Internship Job Profile. Add any other information that might be relevant to your application, including any skills, knowledge and experience for which there was no space above. 	

	

8. FINAL QUESTIONS
Please read and answer carefully all questions 	
Do you have any chronic health problems, disabilities or other medical conditions that would limit your physical activity?	Yes      No   	
Are you regularly taking any medication?	Yes      No   	
Is any relative of yours, to the best of your knowledge, working in EULEX KOSOVO? If yes, please provide details.  	Yes      No   	
Have you ever been convicted or sentenced in any criminal proceedings (excluding minor traffic violations)?	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, you will be requested to supply documentary evidence which supports the statements you made above. Do not, however, send any documentary evidence until you have been asked to do so.

Please submit the completed form as a MS Word Document