Application Form

REGIONAL ASSESSOR TRAINING IN MANILA

(Please typewrite. When finished, please insert your digital signature or print out the form and sign it. The signed application form can then be sent to AUN Secretariat (aun.korn@gmail.com) and in copy to Karin Essig, DAAD, Section Joint Higher Education Management (essig@daad.de) by July 31st, 2012. Contact Details Title Position Address (Street, P.O. Box, City, Country) Phone (official) E-Mail Nationality Sex: male female Phone (mobile) Fax (official) Date of Birth First Name Family Name Institution and department

Education at Universities or Colleges from to Institution Degree(s) or Diploma(s) obtained:

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Professional Experience from to Institution Position Short Description

Specific experience as assessor/ reviewer (please indicate country and year of assignment, institution and programme assessed during site-visit, and the QA agency / external body in charge for QA which coordinated the assessment) Country Year Institution and Study Programme assessed Respective QA agency

Trainings/ seminars with relevance to quality assurance from +to Provider Position Short Description

Language skills: Indicate competence on a scale of 1 to 5 (1 - excellent; 5 basic / Please note that a good command of English is necessary to participate in the training (Add proof of English knowledge e.g. certificates, English publications or presentations if possible)

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Language English

Reading

Speaking

Writing

Membership of professional bodies, academic honours etc.

Other relevant Information (e.g. Publications)

References Title and Name Position Institution e-mail

Place and date

_____________________
Signature

Please send your application including: Application form, Letter of Motivation (1-2 pages max.) The signed application form can then be sent to AUN Secretariat (aun.korn@gmail.com) and in copy to Karin Essig, DAAD, Section Joint HigherEducation Management (essig@daad.de) by July 31st, 2012.

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