Application deadline: February 1st 2013
Please complete this form in English.
Applicants who have graduated the Russian Presidential Programme will have priority and must apply through the Federal Commission on www.pprog.ru
Managers (private sector):
To be sent to NHO by e-mail to: firstname.lastname@example.org
1.Full name ___________________________________________________________________
Family First Middle
2. Date of Birth ________________________________________________________________
Date Month Year
3. Contact Telephone (including Area Code) ______________________________
4. E-mail _____________________________________________________________________
5. The name of your company: ___________________________________________________
6. Length of employment in current company: _______________________________________
7. Total length of employment as a manager: _________________________________________
8. Position? ____________________________________________________________________
9. Describe your responsibilities and duties? (as detailed as possible)
10. The main working areas of your department? (as detailed as possible)
11. How many people are employed in your working place and how many are employed in your department?
12. How many staff are you directly responsible for? __________________________________
13. English fluency
(Basic) - (Good) - (Fluent)
14. Education: (please start with your most recent degree/professional qualifications)
15. Other Training Programs, including Training in a Foreign Country:
16.1 Have you participated in the Presidential Programme in Russia?
If yes, which year, what degree?
17. Work experience : (please startwith your most recent job)
18. Training objectives for internship in Norway: (as specific as possible):
19. What is you motivation for applying for this programme?
20. Describe the projects/actions you plan to implement after training.
21. Is your company in cooperation or regular contact with a Norwegian company/authority? Please describe:
22. Please attach a letter of recommendation from you boss (may be in Russian).
Candidate's Signature _________________________ Date ____________
Please fill in the form on computer in English
1. Candidate's Name ____________________________________________________________
2. Full Name of the Company _____________________________________________________
4. Contact Telephone (country code + city code + number) ______________________________
5. Fax _______________________________________________________________________
6. Name of CEO _______________________________________________________________
7. Telephone/fax of CEO
8. Description of the Company __________________________ E-mail ___________________
8.1. Form of Ownership (please circle)
• state company • company with limited liabilities
• private company • holding
• joint stock company • joint venture
8.2. Year of Foundation
8.3. Company Profile (please circle)
• Mining • Trade/Commerce
• Energy • Finance
• Construction • Leasing
• Machine-building • Tourism
• Computers • Transportation
• Food Processing • Telecommunications
• Other (please indicate) • Media
• Other (please indicate)
8.4. Products/Services and their percentage of the annual output
8.5. Profile of your Department/Division
8.6. Number of Employees
• In your company
• In your department/division _____________________________________________________
8.7. What are the key challenges facing your company?
8.8. Other Information (Please describe any changes which have taken place
in your company in the last 5 years. If there is any foreign investment in
your company, indicate the percentage).
9. International Contacts
9.1. Long Term Foreign Partners (company full name, country, address,
phone, fax, e-mail, contact person and his position, the exact nature of
relationship between the companies)
9.3. Foreign Markets and Countries
9.4. Has your company participated in any international programs or received
help from international programs?
10. Profile of the western company your enterprise is interested in establishing
11. If your enterprise has established business links with a foreign partner which is
ready to host the candidate please indicate:
• company name
• contact person/position
12. Company Priorities for Training of the Candidate
12.1. Do you have a specific development or restructuring project in mind
which you wish this candidate to implement after their return from the
12.2. If not yet, are you prepared to commit resource and support for
opportunities for the candidate to implement their learning?
CEO Signature ________________________ Date ________________
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