APPLICATION FORM

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

PERSONAL DATA

First Name: Type Here Last Name: Type Here

EDUCATION

Please record all relevant education that you have received. If you are currently studying, please
indicate graduation date. Start with the most recent education experience and add as necessary.

EDUCATION
Institution Name: Type Here

Level of Education: Choose Level If Other: Type Here

Diploma Obtained: Name of the diploma, e.g. MSc in Data Science
Main Course of Study: Optional
Place of Institution: City/State or Province/Country
Graduation Date: mm/yyyy

If you require additional education fields, please copy and paste education sections below:

Organisation for the Prohibition of Chemical Weapons

PROFESSIONAL EXPERIENCE
Starting with your current (or last) employment, list experiences in reverse chronological order.
If you require additional professional experience sections, please add as necessary.

PROFESSIONAL EXPERIENCE
Name of Employer Type Here

Job Title Type Here

Location (City, 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 below:

Organisation for the Prohibition of Chemical Weapons

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ADDITIONAL QUALIFICATIONS

Please use this space to share any other qualifications that you would like to note. These could be
trainings or certifications, honours, licenses, memberships in professional societies, notable
activities in civic, public or international affairs etc. And, where relevant, please note the insititution
which carried out the training and the date any certification was received. This section is not
mandatory.

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COMPUTER/IT OR OTHER TECHNICAL SKILLS

Please list any relevant technical skills that you would like to note here. Please also state, in
parenthesis, your proficiency level (basic, intermediate, expert) for each. For example: MS Excel
(intermediate). This section is not mandatory.

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PUBLICATIONS

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

Type or paste text here

Organisation for the Prohibition of Chemical Weapons

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SUPPLEMENTARY QUESTIONS

Please note that it is mandatory to answer the following questions:

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

☐Yes     ☐ No         

If “Yes”, please explain fully:

Type or paste text here

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

☐Yes     ☐ No       

If “Yes”, please explain fully:

Type or paste text here

CERTIFICATION STATEMENT

Please note that the application is not considered complete without agreement to the certification
statement.

☒ By ticking this box, I certify that the statements made by me in answer 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 an
application form or other documents requested by the Organisation renders me liable to
termination or dismissal or to have my applications discounted. I hereby certify that the
information submitted is correct. I hereby give my consent to conduct a background check
in order to verify the information submitted.

Organisation for the Prohibition of Chemical Weapons

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MOTIVATION STATEMENT

Please note that your application will only be considered complete if the the motivation statement is
completed. Candidates are strongly encouraged to note in this section any information they would
like the selection panel to consider. Please try to limit response to 500 words.

Type or paste text here

Organisation for the Prohibition of Chemical Weapons

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