Application form for the Specialist Chambers and Specialist Prosecutor’s Office 

INTERNSHIP 

INSTRUCTIONS:
Internship applicants, supported by their National Authorities, should send their application forms to the respective National Authorities. National Authorities nominating candidates are kindly requested to send the applications to the following email: schr@eeas.europa.eu.
Internship applicants applying directly are kindly requested to send their application forms to the following email: internship@scp-ks.org.
Annex 2
1. APPLICATION DETAILS 
Post N°/title (specify the vacancy reference, compulsory)

First priority:
     
Second priority:
     
Third priority:
     

Sponsored application:  
(please tick the box if you are supported by your National Authorities)

Direct application:         
(please tick the box if you are applying directly to the Specialist Chambers and Specialist Prosecutor’s Office)

2. PERSONAL DATA
Last name	
     	
First name	
     	

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

Passport no.	
     	
Gender	
Male     Female  	

Present nationality	
     	
Other nationality	
     	

Driving licence	
 Yes     No	
If yes, category:	
     	

RELATIVES EMPLOYED IN THE SPECIALIST CHAMBERS AND SPECIALIST PROSECUTOR’S OFFICE/EU/INTERNATIONAL ORGANISATIONS
Relative’s Name	
Relationship	
 Organisation	

     	
     	
     	

     	
     	
     	

     	
     	
     	

     	
     	
     	

     	
     	
     	

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      	

Skype 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.:      	

ADDITIONAL RELEVANT EXPERIENCE/INFORMATION
Do you have or have you ever had any personal, financial, professional connection or any other affiliations with Kosovo or neighboring countries? 
     

Please indicate whether you have ever resided, been educated, had military and/or police service in those areas. If yes, please give full details.
     

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 vacancy. 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 in the space provided. In case needed, please add a separate sheet.	
a) Have you ever been arrested, indicted, or summoned into court as a defendant in a criminal proceeding, or convicted, sentenced or imprisoned for violations of any law (excluding minor traffic violations)?
If yes, please provide full details of each case.
     	 Yes     No	
b) Do you have now or have you had contact with any member of any Government Security or Intelligence Service in the last three years, including any contact in the course of your employment? 
If yes, please provide details of each case.
     	 Yes     No	
c) Have you ever been refused a Security Clearance from any government or security clearance agency?
If yes, please provide full details, also indicating for which positions.
     	 Yes     No	
d) Do you have any other affiliation relevant to the position(s) you are applying for at the Specialist Chambers and Specialist Prosecutor’s Office?
If yes, please provide full details
     	 Yes     No	
	
Declaration of Honour and Understanding
I understand and accept that the Specialist Chambers and Specialist Prosecutor’s Office requires the highest level of personal and professional integrity from all its staff.

I hereby certify that the statements made by me in this Application Form are true, complete and correct to the best of my knowledge and belief. I understand and accept that any misrepresentation or material omission made on the Application Form may result in the application being void and withdrawal of any Offer of Internship or termination of any Internship Agreement. 
I agree that the information provided in my Application Form may be used in the screening process that forms an integral part of the selection procedure, during which the Specialist Chambers and Specialist Prosecutor’s Office may contact me for clarifications.
	I agree:
 Yes     No    	
Place
     	Date
     	Signature (typed name is sufficient). If successful in the selection procedure, you will be requested to sign.     	

If selected, you may be requested to supply documentary evidence, which supports the statements you made above.
 
Please submit the completed form as a MS Word Document