UN Campus, Hermann-Ehlers-Strasse 10, 53113 Bonn, Germany
Postal Address: PO Box 260129, 53153 Bonn, Germany
Tel. +49 (0) 228 815 2800
Fax: +49 (0) 228 815 2898/99
E-mail: [email protected]
Web-site: www.unccd.int
Ad hoc Advisory Group of Technical Experts on Impact Indicators Refinement
Membership Application Form
Please complete this form in English and send it to <[email protected]>.
In addition, please attach a copy of your curriculum vitae (four pages maximum).
Personal Information
Name
Date of birth (dd.mm.yy)
Surname
Place of birth
Nationality
E-mail address(es)
Gender (Please tick)
☐
Female
☐
Male
Present address
Telephone number(s)
Education
Type of University degree:
☐ Bachelor
☐ Master’s level degree
☐ Doctorate
Please specify the main course of study:
Work Experience/Area of Expertise
Thematic expertise:
☐Agriculture/Agronomy
☐ Biodiversity
☐ Carbon fluxes and budget
☐ Conservation
☐ Climate Change impact
☐ Desertification
☐Drought
☐ Economics
☐ Environmental monitoring
☐ Environmental science/Ecology
☐ Food security
☐ Forestry
☐ Geo sciences
☐ Land cover change
☐ Land degradation
☐ Land use planning
☐ Natural resource management
☐ Poverty alleviation
☐ Rangeland management
☐Rural development
☐ Remote sensing
☐ Social science
☐ Soil science
☐ Sustainable development
☐ Sustainable land management
☐ Water resource management
☐ Water logging and salinity
☐ Others (Please specify)
Geographic region of
expertise :
Please specify whether you work for a:
☐International organization
☐Research Institution
☐Government agency
☐University
☐Non-Governmental organization
☐Others (Please specify)
Page 2
Current Position
Exact title of your post:
Start date (dd.mm.yy):
Name of employer:
Address of employer:
Please briefly describe your experience in environmental monitoring and assessment, in particular in
identifying and applying sustainable development indicators and /or environmental indicators?
(Please also indicate the number of years)
Please list up to ten recent publications in peer-reviewed journals significant and relevant to the
topic (in chronological order).
Have you ever been involved in the UNCCD process? If so, in what capacity (National focal point,
Science and Technology Correspondent, representative of Civil Society Organization, consultant
etc…)? (Please specify with duration)
Have you ever been part of national or international scientific bodies, committees or other expert
advisory bodies/groups? If so, please specify with duration:
Knowledge of English
What is your mother tongue?
If your mother tongue is not English, please give details: (Please tick)
Read
Easily
Not easily
Write
Easily
Not easily
Speak
Fluently Not fluently
Understand
Easily
Not easily