Alumni Application form

EMPLOYMENT APPLICATION FORM *** MANAGEMENT TRAINEE PROGRAM I. PERSONAL DETAILS Full Name: ___________________________________ Sex: Male Female Date of Birth: _________________________________ Place of Birth: _________________________ Contact Address: _____________________________________________________________________ Phone Number: _______________________________ Mobile phone: _________________________ Email: ______________________________________________________________________________ II. EDUCATION BACKGROUND From To University Major GPA III. TRAINING COURSES From To Training School/ Center Name of Course Certificate 1 3x4 IV. FOREIGN LANGUAGE ABILITY & COMPUTER SKILL Foreign Languages Certificate Time Score/ Level Computer Skills Kinds Description Score/ Level Application Software Programming Others IV. SCHOLARSHIP Names of Scholarship Sponsor Time Scholarship Values V. ACTIVITIES Organization Description Time Role Achievement 2 ATTACHMENT (ASEAN University Network / Southeast Asia Engineering Education Development Network) APPLICATION FORM Alumni Support Program 2018 Application form can be downloaded from www.seed-net.org/application-forms/ and can be photocopied if needed Please submit the form (Soft copy) to the below email address by the set deadline All attachments, including "Supporting Documents" must be emailed to alumni@aun-seed.net with subject line "Application: Alumni Support Program 2018" AUN/SEED-Net Project (Alumni Support Program 2018) Faculty of Engineering Bld.2, Rm 109-110 Chulalongkorn University Bangkok 10330, THAILAND Tel: (66 2) 2186419, 2186420, 2186421 Fax: (66 2) 2186418 E-mail: alumni@aun-seed.net Program Guidelines Applicants should study the Implementation Guidelines of the Alumni Support Program 2018 It is advised to provide detailed information and description for each item below, and attach supporting documents when necessary 1.1 1.2 1.3 1.4 1.5 1.6 Applicant’s Personal Information Family Name Given Name(s) Current Position Academic Title Department/Faculty University Contact Address (Mailing Address) Tel / Fax Mobile Phone E-mail Address Contact Details of Alumni Association 2.1 Official Name 2.2 Contact Address （Mailing Address（ Tel / Fax E-mail Address Status 2.3 Date of foundation 2.4 Number of Founding Members Officially registered organization, organization in process of official registration, group of members (private), other ( ) (DD/MM/YYYY) AUN/SEED-Net Alumni Support Program 2018 Declaration I declare that all information supplied in this application as well as the attached documents are true and correct to the best of my knowledge I agreed to take full responsibility to manage the given fund to organize the activity by Alumni Association in accordance with the financial regulations of Japan International Cooperation Agency I also understand that any misuse of the fund and expense without proper evidence will incur compensation Applicant Name and Title: Position: Signature: Date: Endorser (Rector or Dean) Name and Title: Position: Signature: Date: AUN/SEED-Net Alumni Support Program 2018 ATTACHMENT (ASEAN University Network / Southeast Asia Engineering Education Development Network) MEMBERS LIST Alumni Support Program 2018 No Family Name First and Middle Name Title (Prof., Dr., etc.) Gender (M, F) Roles in Alumni Association Current Job and Affiliation Email Address AUN/SEED-Net Alumni Support Program 2018 ATTACHMENT (ASEAN University Network / Southeast Asia Engineering Education Development Network) ACTION PLAN Alumni Support Program 2018 Activity No Activities to use the fund of Alumni Support Program Type of Activity (for example, workshop) Event Date and Duration (if applicable) Date: Duration: Date: Duration: Date: Duration: Activity Activity Activity Activity No Activity (1) Activity (2) Activity (3) Expected No of Participant Estimated Cost of Activities Supported Items Estimated Amount (USD) Total AUN/SEED-Net Alumni Support Program 2018 Summer 2009 Application Form for Vietnamese College Students DUE: 5 PM Saturday Mar. 7, 2009 OVERVIEW Coach for College provides a forum for college students from America to work together with college and high school students from other countries to use sports to help youth from rural communities in these countries access higher education. The program provides sports infrastructure to youth who attend rural middle schools, and helps them develop excitement for the learning of science, language, and life skills using sports as a means to applied learning. The overall goal is to help youth develop the motivation, confidence, and other skills needed to one day obtain a higher education, as the program’s coaches have done. Collegiate athletes from top U.S. universities which are rivals in athletic competitions partner with bilingual college students and high school students near the project area to run interactive sports-learning camps during the summer, with an additional emphasis on how to access and benefit most from higher education in America and the host country, currently Vietnam. Vietnamese college students from any year in school are eligible to participate, provided they are students of Can Tho University (the program’s primary partner university), are fluent in English and/or knowledgeable about sports, and have an interest in furthering the program’s goals. While students from all majors are eligible to apply, preference will be given to English majors, English Education majors, and Physical Education majors. 2008 PROGRAM In summer 2008, 20 college students or graduates of Can Tho University, 10 high school students from the Hoa An Commune, and 20 student-athletes from Duke University and the University of North Carolina in the United States participated as coaches in two three week sports-learning camps (half in each) for 200 Vietnamese youth. The youth were rising 6 th -9 th graders, and the camps were held on the grounds of Hoa An Secondary School, the middle school for children who live in the Hoa An Commune in the Hau Giang province. The program also provided sports infrastructure to the youth in the form of sports equipment donated to the school and a five-in-one sports court built next to the middle school allowing for the play of soccer, tennis, volleyball, basketball, and badminton. Over the course of three weeks coaches taught one of five sports and one of five sports-themed academic classes to five teams of 10 youth from one grade in the morning and five teams of 10 youth from a different grade in the afternoon. In both the morning and afternoon, they also taught one of the five teams in Team Building and Higher Education (everyday), the Importance and Benefits of Sports (first week only), and Fitness and Conditioning (second week only). 2009 PROGRAM STRUCTURE In summer 2009, four three week camps will be held at the Hoa An Secondary School. 8 Vietnamese college students from Can Tho University will participate in each of the three week sessions as coaches. A Vietnamese college student who participated in the program in summer 2008 will serve as the Vietnamese College Student Director for each session. Each session of coaches will work with 96 children from a single grade (rising 6 th , 7 th , 8 th , or 9 th graders), 48 for four hours in the morning and 48 for four hours in the afternoon. The youth in the morning and afternoon groups will be divided into 4 teams of 12. At all times during each camp, coaching groups consisting of 1-2 American student- Mẫu đơn Application form CỘNG HOÀ XÃ HỘI CHỦ NGHĨA VIỆT NAM Độc lập - Tự do - Hạnh phúc -------------------------- ĐƠN ĐĂNG KÝ CÔNG NHẬN APPLICATION FORM Kính gửi: VĂN PHÒNG CÔNG NHẬN CHẤT LƯỢNG Tổng cục Tiêu chuẩn Đo lường Chất lượng Bureau of Accreditation The Directorate for Standards and Quality 1. THÔNG TIN CHUNG General information Tên cơ sở đăng ký công nhận (*): Applicant name: (Yêu cầu ghi song ngữ Việt - Anh) Mã số được công nhận (nếu có): code: Địa chỉ thực hiện hoạt động trong phạm vi đăng ký công nhận: Address where perform scope apply to accreditation: Tel: E-mail: Fax: Website: Cơ quan chủ quản (*): Organization Name: (Yêu cầu ghi song ngữ Việt - Anh) Địa chỉ: Address: Tel: E-mail: 1.1 Fax: Website: 1.2 Xin đánh giá công nhận theo: chuẩn mực Accreditation criteria . Loại hình đánh giá: Assessment type Đánh giá ban đầu initial assessment Đánh giá lại reassessment Đánh giá mở rộng Extension 1.3 Họ tên, chức danh người phụ trách : Full name & position of authorized representative . Tel: E-mail: Mobile: 2. PHẠM VI ĐỀ NGHỊ XIN CÔNG NHẬN: Scope seeking accreditation: 2.1 Đối với phòng thử nghiệm: For the testing laboratory: Xem phụ lục A Please see appendix A 2.2 Đối với phòng hiệu chuẩn For the calibration laboratory or Testing lab that have in-house calibration Xem phụ lục B Please see appendix B 2.3 Phòng thử nghiệm có thực hiện hiệu chuẩn nội bộ Laboratory perform in-house calibration methods Xem phụ lục C Please see appendix C 2.4 Đối với phòng thí nghiệm (trường hợp cơ sở làm đơn này xin đánh giá công nhận lại hoặc mở rộng thì cần điền thêm thông tin vào phụ lục D) For laboratories (in case Labs submit an application for reassessment or extension must fill in appendix D) Xem phụ lục D Please see appendix D 2.5 Đối với tổ chức giám định For the Inspection bodies Xem phụ lục E Please see appendix E 2.6 Đối với tổ chức chứng nhận For the Certification bodies Xem phụ lục F Please see appendix E 3. NGƯỜI CÓ THẨM QUYỀN KÝ CHỊU TRÁCH NHIỆM KẾT QUẢ THỬ NGHIỆM/HIỆU CHUẨN Approved signatory TT Họ và tên Full name Chức danh Position held Kinh nghiệm thực tế Practical experience Phạm vi có thẩm quyền ký Approved signatory scope Chữ ký Signatu re 4. Các tài liệu kèm theo gồm The associated documents include Sổ tay chất lượng Quality manual Phiếu hỏi (cho đánh giá lần đầu) Questionnaire Phương pháp thử/ hiệu chuẩn/giám định nội bộ In – house testing/ calibration/inspection methods Các tài liệu liên quan khác Other relevant documents Xin liệt kê cụ thể (please specify): Cơ sở xin cam kết Decleration Các thông tin trong đơn là chính xác Information on this form and accompanying documents is correct Thực hiện mọi quy định về công nhận; Comply with all regulation, requirements on accreditation Cung cấp và cho phép cơ quan công nhận tiếp cận với các tài liệu, hồ sơ của cơ sở để cơ quan công nhận có thể đánh giá theo các chuẩn mực công nhận. Provide or give access to all documents, records of organization to enable a thorough evaluation of the organization in accordance with accreditation EMBASSY OF VIETNAM 1233 20 th Street, NW, Suite 400 Washington, D.C. 20036 Tel: (202) 861-0737, (202) 861-2293 Fax: (202) 861-0917 VISA APPLICATION (FOR NON-VIETNAMESE PASSPORT HOLDERS) ______ 01 Photo (2 inches x 2 inches, bright background) Glue or staple photo here 1. Name (in block letters): . …………………………………………. Family name First name Middle name 2. Date of birth: ….………… dd mm yy 3. Male:  Female  4. Place of birth: . 5. Nationality at birth: Nationality at present: . 6. Passport number: Date of issue: Date of expiry: .… 7. Profession: . Place of employment: . Telephone (Office):… … 8. Present address: (P.O Box Not Accepted) ………….………………………………………….…. ……………………………………………………… . Telephone (Home): 9. Purpose of visit to Vietnam: . . 10. Name, address of your contact in Vietnam: (organization or individual) ……………… …… . .………………………………………….… 11. Proposed date of entry and exit Vietnam: from ./ / . to …./….…/…… . dd mm yy dd mm yy 12. Number of entries: Single  Multiple  I solemnly declare that the statements made in this application are true and correct. City, State:…………………………………………………… Date:……………………………………………………………… Signature: …. Before submitting, make sure you have included:  Original Passport;  Completed and signed Application with One Photo glued or stapled;  Visa Fee: Money Order (or Cashier’s Check); and  Prepaid US Express Mail Slip (UPS and DHL are not accepted for the return envelope), (if you want your visa be returned by mail). Last Update: November 2006 Job Application Forms In many cases, even if you submit a resume, you will also be asked to complete a job application. This way the employer will have consistent data on file for all prospective applicants. Also, your signature on the job application acknowledges that the information is accurate. Instructions: Print clearly in black or blue ink. Answer all questions. Sign and date the form. Application Form Applicant Information Applicant Name _____________________ Home Phone _______________________ Other ____________________________ Email Address _____________________ Current Address: Number and street ____________________ City ________________________________ State & Zip ____________________________ How were you referred to Company?:___________________________ Employment Positions Position(s) applying for:________________________________ Are you applying for: • Temporary work – such as summer or holiday work? [ ] Y or [ ] N • Regular part-time work? [ ] Y or [ ] N • Regular full-time work? [ ] Y or [ ] N What days and hours are you available for work? ___________________________________________ If applying for temporary work, when will you be available? ___________________________________________ If hired, on what date can you start working? ___ / ___ / ___ Can you work on the weekends? [ ] Y or [ ] N Can you work evenings? [ ] Y or [ ] N Are you available to work overtime? [ ] Y or [ ] N Salary desired: $________________________________ Personal Information: Have you ever applied to / worked for Company before? [ ] Y or [ ] N If yes, please explain (include date): ________________________ Do you have any friends, relatives, or acquaintances working for Company? [ ] Y or [ ] N If yes, state name & relationship: ________________________________ If hired, would you have transportation to/from work? [ ] Y or [ ] N Are you over the age of 18? (If under 18, hire is subject to verification of minimum legal age.) [ ] Y or [ ] N If hired, would you be able to present evidence of your U.S. citizenship or proof of your legal right to work in the United States? [ ] Y or [ ] N If hired, are you willing to submit to and pass a controlled substance test? [ ] Y or [ ] N Are you able to perform the essential functions of the job for which you are applying, either with / without reasonable accommodation? [ ] Y or [ ] N If no, describe the functions that cannot be performed _____________________________________________________________ (Note: Company complies with the ADA and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. It is possible that a hire may be tested on skill/agility and may be subject to a medical examination conducted by a medical professional.) Have you ever been convicted of a criminal offense (felony or misdemeanor)? [ ] Y or [ ] N If yes, please describe the crime - state nature of the crime(s), when and where convicted and disposition of the case.________________________________________________________________ (Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.) Education, Training and Experience High School: School name: ________________________ School address:________________________ School city, state, zip:________________________________ Number of years completed: _______________ Did you graduate? [ ] Y or [ ] N Degree / diploma earned: _______________ College / University: School name: __________________________ School address:________________________ School city, state, zip:________________________________ Number of years completed: ________ Did you graduate? [ ] Y or ...3 Declaration I declare that all information supplied in this application as well as the attached documents are true and correct to the best of... Signature: Date: AUN/SEED-Net Alumni Support Program 2018 ATTACHMENT (ASEAN University Network / Southeast Asia Engineering Education Development Network) MEMBERS LIST Alumni Support Program 2018... Middle Name Title (Prof., Dr., etc.) Gender (M, F) Roles in Alumni Association Current Job and Affiliation Email Address AUN/SEED-Net Alumni Support Program 2018 ATTACHMENT (ASEAN University Network