ANCEE Scholarship Application Form

ASSOCIATION OF POWER UTILITIES OF AFRICA
AFRICAN NETWORK OF CENTERS OF EXCELLENCE IN ELECTRICITY (ANCEE)
ANCEE Scholarship Application Form
January 2017
ANCEE Scholarship Application Form – Round 3
IMPORTANT REMINDERS FOR THE HEADS OF HUMAN RESOURCES
1. Scan and email the completed and signed form with the two supporting documents
required for each applicant.
2. Gather the records of each candidate (scanned forms and supporting documents) in
a .PDF file clearly identified with the initials of your company and the name of the
applicant.
Example: "Initials of the company_Name of applicant.pdf"
Make sure the electronic records are readable and the pages are in the correct
order.
3. Complete the Excel table "ANCEE Scholarship Applications" to provide the ANCEE
with a prioritized list of your applicants.
4. Attach an official letter from the HR Department to "The ANCEE Coordinator" which
stipulates the number of applicants and endorses all the applications submitted in
this round of selection.
Your complete application will consist of:
i.
Endorsement letter to "The ANCEE Coordinator"
ii.
Excel table "ANCEE Scholarship Applications" dully completed
iii.
One .PDF file for each applicant
5. Make sure to send your comlete application to the ANCEE before 4:00 PM
(Abidjan local time) on February 1, 2017 to [email protected]
Information
Mme Adya AFANOU
Business Development & Marketing Officer
AFRICAN NETWORK OF CENTERS OF EXCELLENCE IN ELECTRICITY (ANCEE)
Tel.: +225 22 516 114 / 102
Mob: +225 56 727 155
[email protected]
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ANCEE Scholarship Application Form – Round 3
ALL QUESTIONS ARE MANDATORY
1. IDENTIFICATION OF THE SCHOLARSHIP APPLICANT
1.1 LAST NAME:
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1.2 Given Name(s):
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1.3 Gender:
1.4 Date of birth:
(Day / Month / Year)
Female
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1.5 Nationality:
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1.6 Tel.:
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1.7 Mob.:
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1.8 Fax:
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1.9 Email:
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1.10 Postal Address:
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Male
2. EMPLOYMENT & QUALIFICATIONS
2.1 Employer:
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2.2 Country:
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2.3 Employee No.:
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2.4 Date of assumption of office
with the current employer:
2.5 Date of end of contract (if
applicable):
2.6 Title on assumption of office:
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2.7 Current title:
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2.8 Current duties and
responsibilities (max 100 words):
2.9 Title of current direct
supervisor:
2.10 Last educational level
completed:
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2.11 Specialization or field of study
(of the qualification indicated in
question 2.10):
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Secondary School Education
Basic Education Certificate Examination (1st cycle secondary
education)
High School Certificate (2nd cycle secondary education)
BTS Diploma (High School+2 years)
First Degree (High School +3 years)
Master (High School + 5 years)
Doctorate (High School + 7 years)
Other. Specify: Click here to add text.
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ANCEE Scholarship Application Form – Round 3
3. TRAINING PROJECT
3.1 Title of the training project:
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3.2 Area of the training project
(please check only one):
Power Generation
Transmission
Distribution
3.3 Field of Expertise of the training
project (please check only one):
Energetic Efficiency
Environmental Assessment
Renewable Energy
Equipment, Operations & Maintenance of plants
Strategic Governance
Study & Development
Leadership Development
Operations Management
Personnel & Human Resources Management
Planning
Pricing
Procurement
Security
Other Commercial, Administrative, Legal or Financial
Management
Other. Please specify: Click here to add text.
3.4 Objective(s) of the training
project:
Fill a gap
Increase performance
Plan for the deployment of a new technology
Training of trainers
Other. Please specify: Click here to add text.
3.5 Focus subject(s) or content of
the desired training course (brief
list):
1. Click here to add text.
2. Click here to add text.
3. Click here to add text.
4. Click here to add text.
3.6 Desired skill(s) (brief list):
1. Click here to add text.
2. Click here to add text.
3. Click here to add text.
4. Click here to add text.
3.7 Software or Special Equipment
Needed (if applicable):
3.8 Language for the training:
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English
French
Other. Please specify: Click here to add text.
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ANCEE Scholarship Application Form – Round 3
4. SUPPORTING DOCUMENTS
* Ensure that you provide all these mandatory documents and that each copy is readable. An
incomplete application or one comprising of supporting documents deemed unsatisfactory will
be automatically rejected.
** Check the corresponding box for of each document.
A) Copy of an ID with your photo (both sides)
B) Copy of Certificate considered in question 2.10
I, the undersigned, hereby certify that the information provided in this application for a training
scholarship is complete and true.
Done in ____________________________
On______________________________
Given Name(s) LAST NAME
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Signature:
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