Application: Ukraine's First National team of Cultural First Aiders

Application Form

Enhancing Capacities in Ukraine for Cultural Heritage First Aid and Recovery Planning
Before applying, please ensure that:
- You have identified a damaged heritage site of national or regional significance in your region and have been granted access and permission from the relevant authority at the selected heritage site, to work with the staff and implement first aid measure(s) on-site.
- You have authorization from a representative of your institution attesting to your voluntary participation and commitment of time for the duration of the training. (This letter is not mandatory for the time of application and can be produced upon being selected.)
Please note that only complete applications with a clear statement of intent will be considered.
I hereby confirm that I will be available to participate in the course in person for the whole term of its duration with full commitment.
Personal Data
Name*

First NameLast Name
Birth Date*

MonthDayYear
Gender*
Phone Number
Please enter a valid phone number.
Email*

Confirmation EmailPlease confirm your email
Educational background *
Name of institution*
Present occupation and everyday professional responsibilities*
Relevant professional courses (including ICCROM courses)
Statement of Purpose
Briefly describe the selected damaged heritage site of national or regional significance in your region. *
What are your current skills and how are you applying them in your institution and everyday work?*
Explain why you are applying for this course, what you hope to learn from it, and how it will benefit your professional development and your heritage instituion or site. *
Official Endorsement

Your application will not be considered unless this section is correctly filled in by the person authorizing your involvement and time commitment to the course (representing the institution you work for).
The undersigned: First Name*   Last Name* ;   Title or position*;   Institution or organization*; Phone Number*   Address*            Email*endorses the application of the candidate:   First Name*   Last Name*

Signature of person endorsing*
Date*
If available, please attach relevant documents, including endorsment or permission letters (You can submit this letter after being selected)

Cancelof
Please use this space to write any relevant information you would like the course organizers to know.
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Application Form

Personal Data

Statement of Purpose

Official Endorsement