Language Read Write Speak: A1/A2 B1/B2 C1/C2 A1/A2 B1/B2 C1/C2 A1/A2 B1/B2 C1/C2
Language Read Write Speak: A1/A2 B1/B2 C1/C2 A1/A2 B1/B2 C1/C2 A1/A2 B1/B2 C1/C2
Application Form
PART I - TO BE COMPLETED BY THE STUDENT
1. Family/Last Name(s): Given/First Name(s):
2. Sex: F( ) M( )
3. Date of Birth: 4. Place of Birth: 5. Nationality:
Telephone:
9. Insurance:
I hereby confirm that I hold a health/accident insurance policy as follows:
Policy Number:
10. Knowledge of Languages:
Language Read Write Speak
Mother tongue(s): A1/A2 B1/B2 C1/C2 A1/A2 B1/B2 C1/C2 A1/A2 B1/B2 C1/C2
English
French
German
Other(1):
Other(2):
Other (3):
11. Higher Education
Institution Attendance from/to Degree Major subject of study
Name, place & country Mo./Year Mo./Year (Date awarded/expected)
12. Employment: Please provide your employment history.
13. Career Plans:
c) Have you ever applied for regular employment with the United Nations?
Yes No
If yes, please give dates:
d) Have you ever been convicted, fined or imprisoned for the violation of any law
(excluding minor traffic violations)?
Yes No
If yes, please give full details in an attached statement.
17 References:
Please list two persons not related to you who are familiar with your qualifications and character, and who have
agreed to forward a letter of reference to UNU.
Full name & Title Address Phone Email Type of Ref (i.e.
Character, Prof.,
Supervisor, Friend)
18. I have read and fully understand the guidelines and conditions of the United Nations University Internship
Programme, which include the following:
(a) that there is no financial remuneration attached to the UNU internship and that all the expenses connected with it
must be borne by me or my sponsoring Government or institution;
(b) that I am responsible for obtaining necessary visas and arranging my travel to the United Nations University in
Bonn;
(c) that the United Nations University accepts no responsibility for costs arising from accidents and/or illness incurred
during my internship and that I must, therefore, provide proof of my enrolment in a health insurance plan.
I CERTIFY that the foregoing statements and answers are true, complete and correct to the best of my knowledge and
belief.
UNU-EHS Internship Programme, UN Campus Platz der Vereinten Nationen 1, 53113 Bonn
[email protected]
UNU-ViE Internship Programme, UN Campus Platz der Vereinten Nationen 1, 53113 Bonn
[email protected]