ANALYTICA RESIDENTIAL INTERNSHIP PROGRAM

15 OCTOBER – 30 DECEMBER 2010, SKOPJE – MACEDONIA

                                         

APPLICATION FORM
 
Name: Surname: Gender: Date of Birth:

       

 
Nationality:  

Passport holder:  (Country)  
Contact address:  
Telephone:  
E-mail:  

 
Education

Institution Degree obtained/aimed at: From: To:

       

       

       

 
Work experience 

Name of employer From: To: Type of employment: Task description:

         

         

         

 
Languages   Beginners Intermediate Advanced

Mother tongue        
English:        
Other (please specify)        

 
Administrative skills and competencies: 

 
 

 
Papers written (if any):

 
 
 
References (not compulsory):

 
 
 

 
Please explain us your motivation behind your application in no more than 500 words.

The deadline for submitting an application for the Residential Internship Program is 30 August

2010. The residential internship is unpaid.

Interested applicants should send their CVs together with the application

form to:internship@analyticamk.org. Incomplete application will not be considered as valid.  An
interview may be required.