United Nations Human Settlements Programme Rua Rumnia 20, Rio de Janeiro 22240-140, BRAZIL Tel: +55-21 32358550,

Fax: +55-21 32358566 rolac@onuhabitat.org, www.onuhabitat.org

ANNEX 1 INTERNSHIP PROGRAMME APPLICATION FORM INSTRUCTIONS 1. Please read the instructions carefully. 2. Answer each question clearly and completely 3. Incomplete Applications will not be considered.

1. Family Name

First Name

Other Names

Maiden Name

2. Date of Birth

3. Place of Birth

4. Nationality of Birth

5. Present Nationality

6. Gender

7. Marital Status

8. Present Address

9. Permanent Address

10. Present Telephone Number

11. Fax Number

12. E-mail Address

13. To what extent are you familiar with the activities of the United Nations

United Nations Human Settlements Programme Rua Rumnia 20, Rio de Janeiro 22240-140, BRAZIL Tel: +55-21 32358550, Fax: +55-21 32358566 rolac@onuhabitat.org, www.onuhabitat.org

14. Proposed Attachment Period From To

15. What is your area of interest? Please indicate by clicking in order of preference three main areas in which you would like to be considered: Assignment Area for UN-HABITAT Building Technology Economics Infrastructure Social Sciences Urban Environment Capacity Building Gender Issues Legal Issues Information Technology Transport Community Development Housing Public Information Urban & Regional Planning, Development, Managrment Office/Location: Ro de Janeiro

Other Assignment Areas

Please Specify

16. Have you previously submitted an application for internship with the UN? YES NO

If YES, state Date/Reference of response received

United Nations Human Settlements Programme Rua Rumnia 20, Rio de Janeiro 22240-140, BRAZIL Tel: +55-21 32358550, Fax: +55-21 32358566 rolac@onuhabitat.org, www.onuhabitat.org

17. KNOWLEDGE OF LANGUAGES What is your mother tongue? OTHER LANGUAGE Language First Language Second Language Third Language Fourth Language Read Write Speak Understand

18. EDUCATION. Give full details - N.B. Please give exact name of institution and titles of degrees in original language. Name, Place and From To Degrees and Academic Main Course of Study Country Distinctions CV

19. Indicate a List of completed Course Work

20. List any significant publication you have written

United Nations Human Settlements Programme Rua Rumnia 20, Rio de Janeiro 22240-140, BRAZIL Tel: +55-21 32358550, Fax: +55-21 32358566 rolac@onuhabitat.org, www.onuhabitat.org

21. Do you have Computer Skills? List Software with which you are proficient

Yes

No

22. EMPLOYMENT RECORDS List in reverse order employment you have had. PLEASE ATTACH AN UPDATED CV From: Month/Year To: Month/Year Name and Address of Employer Type of Business

Description of your duties

From: Month/Year

To: Month/Year

Name and Address of Employer

Type of Business

Description of your duties

From: Month/Year

To: Month/Year

Name and Address of Employer

Type of Business

Description of your duties

23. List of persons to contact in case of emergency Full Name Full Address

Telephone Numbers

United Nations Human Settlements Programme Rua Rumnia 20, Rio de Janeiro 22240-140, BRAZIL Tel: +55-21 32358550, Fax: +55-21 32358566 rolac@onuhabitat.org, www.onuhabitat.org

24. Do you hold a Health/Accident Insurance Policy?

Yes

No

If YES, indicate the name of the Company and the Policy Number Name of Company Policy Number If NO, please note that you will be expected to bear any costs arising from accidents and or illnesses incurred if accepted for an internship. State any other relevant fact.

25. REFERENCES: List three persons, not related to you, who are familiar with your character and qualifications. Full Name Full Address Business or Occupation

26. Have you any objection to our making inquiries about you?

Yes

No

27. Have you ever been arrested, indicted, or summoned into a 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", give full particulars of each case.

28. 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 misinterpretation or material omission made on this application form, or other document requested by the Organization renders an intern with the United Nations liable for termination or dismissal. Date:______________________________ Signature:____________________________

United Nations Human Settlements Programme Rua Rumnia 20, Rio de Janeiro 22240-140, BRAZIL Tel: +55-21 32358550, Fax: +55-21 32358566 rolac@onuhabitat.org, www.onuhabitat.org

PLEASE ATTACH LETTER OF ENDORSEMENT FROM YOUR EDUCATIONAL INSTITUTION

United Nations Human Settlements Programme Rua Rumnia 20, Rio de Janeiro 22240-140, BRAZIL Tel: +55-21 32358550, Fax: +55-21 32358566 rolac@onuhabitat.org, www.onuhabitat.org

ANNEX 2 Internship agreement 1. I accept the internship, which has been awarded to me by UN-HABITAT, ROLAC and understand the following: The United Nations will not pay me for my internship; all the expenses connected with it will be borne by me or my sponsoring Government or Institution; The United Nations accepts no responsibility for costs arising from accidents and/or illness incurred during my internship; I am not eligible to apply, or be appointed to, any post in the United Nations during the period of my internship or for the six months immediately following the expiration date thereof; I am personally responsible for obtaining necessary visas and arranging my travel to and from the duty station where the internship will be performed. I undertake the following obligations with respect to the United Nations internship programme: To observe all applicable rules, regulations, instructions, procedures and directives of the Organization. To refrain from any conduct that would adversely reflect on the United Nations or on the receiving department/office and will not engage in any activity which is incompatible with the aims and objectives of the United Nations. To respect the impartiality and independence required on the United Nations and of the receiving department/office and shall not seek or accept instructions regarding the services performed from any Government or from any authority external to the Organization. To keep confidential any and all unpublished information made known to me by the accepting office or department during the course of my internship that I know or ought to have known has not been made public, and except with the explicit authorization of the United Nations not to publish any reports or papers on the basis of information obtained during the programme, both during and after the completion of my internship. To provide the receiving department/office with a copy of all materials prepared during my internship. To extend all property rights, including but not limited to patents, copyrights and trademarks, with regard to material which bears a direct relation to, or is made in consequence of, the services provided to the organization by me;

(a)

(b)

(c)

(d)

2.

(a)

(b)

(c)

(d)

(e)

(f)

United Nations Human Settlements Programme Rua Rumnia 20, Rio de Janeiro 22240-140, BRAZIL Tel: +55-21 32358550, Fax: +55-21 32358566 rolac@onuhabitat.org, www.onuhabitat.org

(g)

To assist the organization in securing such property rights and transferring them to the organization in compliance with the requirements of the applicable law; To provide immediate written notice in case of illness or other unavoidable circumstances which might prevent me from fulfilling my obligations; To provide for my own transport to and from the Office. To return my identification pass to the Security Section/Officer-in-charge of the internship programme at the duty station; To prepare a short report on my assignment at the end of my internship and to submit it to the Chief of ROLAC; To report for an exit interview before the expiry date of my internship.

(h)

(i) (j)

(k)

(l)

I hereby confirm that I agree with the terms and conditions of my internship as stated above.

.. (Date)

. (signature)

NB: You may be requested to supply documentary evidence which supports the statements you have made above. Do not, however, send any documents or evidence until you have been asked to do so by the organization and, in any event, do not submit the original text of references or testimonials unless they have been obtained for the sole use of the organization. Applications will not, as a general rule, be valid or be retained by the United Nations for more than six months from the date of receipt.