APPLICATION FOR THE JUDICIAL FELLOWSHIP PROGRAMME

Please note that in order for your application to be considered complete, all fields are considered mandatory unless otherwise stated.

PERSONAL DATA

Family name: Type here	First name: Type here	Middle name: Type here	Other names, if any: Type here
Date of birth:	dd/mm/yyyy	Nationality:	Type here	Other nationality:	Type here
Marital status:	Type here	Sex:	Type here
Permanent address:	Type here	Current address:	Type here
Telephone number:	Type here	Email address:	Type here
Alternative email address:	Type here

MOTIVATION STATEMENT

Please note that you must provide a motivation statement in order for your application to be considered complete. Candidates are strongly encouraged to set out in this section any information they would like the selection panel to consider. Please limit your statement to 700 words.

Type here

EDUCATION

Please provide details of all relevant education. If your studies are ongoing, please state your expected graduation date. Start with your most recent education experience and add to the list as necessary.

Institution name:	Type here
Level of education:	Choose level	If other: Other education level
Degree of diploma:	Name of degree or diploma, e.g. MSc in data science
Main course of study:	Optional
Location of institution:	City, state/province, country
Attended from:	mm/yyyy	to:	mm/yyyy
Final grade (GPA/mark)	…	Class rank/percentile	…

Institution name:	Type here
Level of education:	Choose level	If other: Other education level
Degree of diploma:	Name of degree or diploma, e.g. MSc in data science
Main course of study:	Optional
Location of institution:	City, state/province, country
Attended from:	mm/yyyy	to:	mm/yyyy
Final grade (GPA/mark)	…	Class rank/percentile	…

If you require additional education sections, please copy and paste the above fields in the space below:

KNOWLEDGE OF LANGUAGES

Please use the equivalency table to identify your level of fluency

Language:	Type here
Mother tongue?	Select here
Read: Select here	Speak: Select here	Write: Select here	Understand: Select here

Language:	Type here
Mother tongue?	Select here
Read: Select here	Speak: Select here	Write: Select here	Understand: Select here

If you require additional language sections, please copy and paste the above fields in the space below:

PROFESSIONAL EXPERIENCE

Starting with your current (or most recent) position, list experience in reverse chronological order.

Name of employer	Type here
Job title	Type here
Location (city, state/province, country)	Type here
Dates:	From: dd/mm/yyyy	to: dd/mm/yyyy	Duration: XX years and XX months
Number of staff supervised:	Select here
Work (%): (optional field)	Select %, full time – 100%, part time- 50%, etc.
Reason for leaving:	Type here
Name of supervisor:	Type here
Email of supervisor:	Type here
If UN experience:	Grade: Select grade	Step: Type here
What were your main achievements?
Type or paste text here
What were your duties and responsibilities?
Type or paste text here

Name of employer	Type here
Job title	Type here
Location (city, state/province, country)	Type here
Dates:	From: dd/mm/yyyy	to: dd/mm/yyyy	Duration: XX years and XX months
Number of staff supervised:	Select here
Work (%): (optional field)	Select %, full time – 100%, part time- 50%, etc.
Reason for leaving:	Type here
Name of supervisor:	Type here
Email of supervisor:	Type here
If UN experience:	Grade: Select grade	Step: Type here
What were your main achievements?
Type or paste text here
What were your duties and responsibilities?
Type or paste text here

If you require additional work experience sections, please copy and paste the above fields in the space below:

REFERENCES

Please list at least two individuals who are not related to you, and are familiar with your character and qualifications

Family name:	Type here	First name:	Type here
Occupation or title:	Type here
Organization:	Type here
Telephone number:	Type here
Email address:	Type here
Relationship:	Type here

Family name:	Type here	First name:	Type here
Occupation or title:	Type here
Organization:	Type here
Telephone number:	Type here
Email address:	Type here
Relationship:	Type here

If you require additional sections for references, please copy and paste the above fields in the space below:

Computer, IT and other Technical Skills

Please use this space to list any relevant technical skills that you would like to note, indicating your proficiency level (basic, intermediate, expert) for each. For example: Microsoft Excel (intermediate). This section is not mandatory.

Type or paste text here

PUBLICATIONS

Please list any significant publications or papers you have written.This section is not mandatory.

Type or paste text here

ADDITIONAL INFORMATION

Please use this space to list any other relevant information, such as other qualifications, training, certifications, honours, licenses, memberships in professional societies, notable activities relating to civic, public or international affairs, etc. Where relevant, please note the institution that provided the training and the date of any certification. This section is not mandatory.

Type or paste text here

Supplementary QUESTIONS

Please note that the following questions are mandatory:

1. Have you ever been arrested, indicted, or summoned into court as a defendant in criminal proceedings, or convicted, fined or imprisoned for violating any law (excluding minor traffic violations)?

☐Yes ☐ No

If “yes”, please explain fully:

2. Have you ever been the subject of disciplinary measures, including dismissal or separation from service on grounds of misconduct, or resigned while under investigation or during disciplinary proceedings?

☐Yes ☐ No

If “yes”, please explain fully:

CERTIFICATION STATEMENT

Please note that your application will not be considered complete if you do not agree to the certification statement below.

☐ By ticking this box, I certify that my responses 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 this application form or any other document requested by the Court may lead to my termination or dismissal or to my application being disregarded. I hereby certify that the information submitted is correct and consent to a background check for verification purposes.