ANNEX 6 – Application Form 
Please complete ALL the blank fields below, and return the form by 30 June 2019 to the Office of the Special Representative and Co-ordinator for Combating Trafficking in Human Beings (cthblivex@osce.org).
Please name the file with your last name.
APPLICATION	
	
Gender	First name	Last name	
     	     	     	
	
Country	Current Employer	Position in the Organisation	
     	     	     	
	
Applying for the position of    
(see the description of each position in Annex 1 on pages 9-22 of the call for participants)	

Agency	
Position	
Preference 
(1 for first choice; 
2 for second choice)	

	

Financial Investigation Unit
	
Head	

	
Officer	

	

Criminal Investigation Unit	
Head	

	
Officer	

Border Police	
Officer	

	

Labour Inspection Unit	
Head	

	
Officer	

	

Prosecution	
Prosecutor	

	

Asylum Authority	
Officer	

	

Public Social Services
	
Officer 
(social workers, educators, psycho-logists)	

	

NGO	
Director	

	
Coordinator emergence, assistance & social inclusion 	

	
Coordinator of the Shelter	

	
Legal officer	

	
Emergence, assistance and social inclusion services officer	

	
Psychologist	

	
Psychologist in the Shelter	

	
Educators/social worker in the Shelter	

Cultural Mediator	
Cultural Mediator Italian/English	

	

Lawyers / Legal Consultants	
Lawyer / Legal Consultant	

	

	
Please briefly describe why you think you are suitable for this position, outlining your experience in combating human trafficking/protecting trafficked persons:    	
     

	
PERSONAL INFORMATION  (Please answer each section clearly, completely and use only English transcription)	
Title	First name	Last name	
     	     	     	
Middle name(s)		Maiden name (if any)	
     	     	
Date of birth (dd.mm.yyyy)	Gender	Are you in the process of changing nationalities?	
     	     	     	
Place of birth	Country of birth	
     	     	
Present nationality	Other nationality	
     	     	
Address (Street)	Zip/Post Code	
     	     	
Town/City 	County/State	Country	
     	     	     	
Tel (Work)	Tel (Home)	
     	     	
Mobile/Cell Phone	E-mail/Fax	
     	     	

SKILLS AND COMPETENCIES (Please indicate the number of years of professional experience in the listed fields of expertise. Do not count internships and/or apprenticeships.)	
Fields of expertise	 Years of experience	
	< 2	2-5 	6-9	> 10	
Law enforcement					
Prosecution					
Labour inspection					
Financial investigation					
Asylum					
Legal Services					
Social services provision					
			
Language knowledge	What is your mother tongue?       	     	
Other languages	Professional Fluency	Working Knowledge	Limited Knowledge	
     				
     				
     				

Computer skills	Beginner	Intermediate	Advanced	
Databases				
Spreadsheets				
Word processing				
Graphics/Image/Photo				
Financial software				
Web browser/E-Mail				
Presentation software				

Current Military rank (if applicable)
     	

Additional skills and relevant facts (List any training courses that you have attended, membership to bodies or any publications you have              
                                                                             written, that should be taken into consideration.) 
     	

EMPLOYMENT HISTORY - Starting with your present post, list all other employment records in reverse chronological order.                
	
Dates (from - to)	       (mmm-yyyy)	       (mmm-yyyy)	
Exact Job Title	     	
Employer	     	
Work Location/ Duty Station	     	
Description of duties and responsibilities 
Please describe principal duties and responsibilities in the space provided which is restricted to 900 characters including spaces.		
	
Dates (from - to)	       (mmm-yyyy)	       (mmm-yyyy)	
Exact Job Title	     	
Employer	     	
Work Location/ Duty Station	     	
Description of duties and responsibilities 
Please describe principal duties and responsibilities in the space provided which is restricted to 900 characters including spaces.		
	
Dates (from - to)	       (mmm-yyyy)	       (mmm-yyyy)	
Exact Job Title	     	
Employer	     	
Work Location/ Duty Station	     	
Description of duties and responsibilities 
Please describe principal duties and responsibilities in the space provided which is restricted to 900 characters including spaces.		
	
Dates (from - to)	       (mmm-yyyy)	       (mmm-yyyy)	
Exact Job Title	     	
Employer	     	
Work Location/ Duty Station	     	
Description of duties and responsibilities 
Please describe principal duties and responsibilities in the space provided which is restricted to 900 characters including spaces.		
	
Dates (from - to)	       (mmm-yyyy)	       (mmm-yyyy)	
Exact Job Title	     	
Employer	     	
Work Location/ Duty Station	     	
Description of duties and responsibilities 
Please describe principal duties and responsibilities in the space provided which is restricted to 900 characters including spaces.		
	
Dates (from - to)	       (mmm-yyyy)	       (mmm-yyyy)	
Exact Job Title	     	
Employer	     	
Work Location/ Duty Station	     	
Description of duties and responsibilities 
Please describe principal duties and responsibilities in the space provided which is restricted to 900 characters including spaces.