Form - School of Public Management

Case Teaching and Case Study Writing for Public Policy: Training the Trainers

APPLICATION FORM

Stanford University’s Center on Democracy, Development and the Rule of Law (CDDRL), and The School of Public Management at Ukrainian Catholic University (SPM UCU) are opening the application intake for the “Case Teaching and Case Study Writing for Public Policy: Training the Trainers” workshop which will take place in

Lviv, Ukraine on August 21-26, 2016.

APPLICATION NOTES:

APPLICATION DEADLINE: 18.00 Kyiv Time, Friday, 15 July 2016

PLEASE SUBMIT YOUR COMPLETED FORM IN MICROSOFT WORD (VERSION 2000 OR LATER) OR PDF FORMAT.

PLEASE EMAIL YOUR COMPLETED APPLICATION FORM ALONG WITH CURRICULUM VITAE, STATEMENT OF PURPOSE AND EXAMPLE OF YOUR PUBLISHED PAPER IN ENGLISH TO: tt.spmucu@gmail.com

ALL DOCUMENTS MUST BE SUBMITTED IN ENGLISH.

PLEASE NOTE: INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED.

IF YOU HAVE ANY QUESTIONS, PLEASE EMAIL: tt.spmucu@gmail.com

1. PERSONAL DETAILS

First Name:

Surname/Family Name:

Other Names/Patronymic (in full):

Sex (F/M):

Date, City and Country of Birth:

Citizenship:

Passport Number:

Current Occupation:

Work Address:

Street:

City:

Region:

Country:

Postal Code:

Tel. No.:

Email:

Home Address:

Street:

City:

Region:

Country:

Postal Code:

Tel. No.:

Mobile Phone No.:

Email:

Skype ID:

2. REFEREES

Please provide the contact details of two referees:

Name:

Affiliation:

Work Address:

Email:

Tel. No.:

Relationship to you:

Name:

Affiliation:

Work Address:

Email:

Tel. No.:

Relationship to you:

3. Full Curriculum Vitae (CV).

4. A Statement of Purpose.

5. The list and an example of a published papers in English

6. DECLARATION OF CONSENT

Please tick all the boxes below to confirm you have:

Attached a copy of your curriculum vitae, statement of purpose and example of your published paper in English.

Signed and dated this application form

I hereby declare that the above statements are correct and complete. CDDRL and SPM UCU have my permission to process, evaluate and store my personal information. Upon my acceptance to the workshop, my personal data and photograph may be used in workshop publications and on the CDDRL and SPM UCU websites.

Signature:

Date: