world council of churches
STEWARD
World Council of Churches - Central Committee
APPLICATION
Geneva, Switzerland, 15 August - 5 September 2002
FORM

Attach small recent
photo here when
submitting
application

Deadline, 12 April 2002
This application can be printed, filled out
and returned by fax or post to the address listed below
Please write or type clearly!
Surname(s) (as in passport)

First name(s) (as in passport)

Street address

Postal code

Town

Country

Please provide at least one fax number or one e-mail address where you can be reached for quick communications.
Telephone (countrycode/areacode/number) Home

Office

Telefax (countrycode/areacode/number) Home

Office

Email

Gender Male        Female
Marital Status Single      Married
Indigenous Person Yes If yes, please specify:

Date of birth (day/month/year)

Confession

Name of church in which you are a member

Profession or Occupation (if student, which field)

Nationality (country issuing your passport)

Passport number

Date and place of issue

Passport valid until

Mother tongue

Other languages spoken and understood fluently

Special needs (physical disability or medical condition)

Please answer the following questions on a separate sheet:

  1. Why are you interested in the ecumenical movement / being a steward for the Central Committee?
  2. Have you been a steward before (local, regional, global)?
  3. Have you ever been involved in youth work at a local, national or international level?
  4. What are the main concerns facing young people in your country?
  5. How can you further ecumenical (youth) work in your local or national situation?
  6. Describe yourself in five lines.

To be completed by residents of Australia, Japan, New Zealand, North America and Western Europe:
I confirm I will cover my travel expenses fully, if selected.

To be completed by residents of all other regions:
I confirm I will cover fully my travel expenses, if selected
or
I apply for travel subsidy.
If selected, my cash contribution towards travel expenses is US$ ______

Please don't forget to enclose:
a letter of recommendation.

a copy of passport or identity card or birth certificate


Commitment
I confirm that I will stay for the full duration of the Stewards Programme.

I understand that the WCC will provide board, lodging and pocket money for this period only. Any other expenses, including passport and visa(s) costs, local/national travel related expenses such as vaccinations, luggage insurance or telecommunication costs, are my own responsibility.

Place

Date

Signature


Only applications which are fully completed and received on time will be considered.
Applications should be submitted by post or fax to:

World Council of Churches
Justice, Peace and Creation - Youth
150, route de Ferney - PO Box 2100
1211 Geneva 2, Switzerland

Fax: (+41 22) 791 6409 / 710 2396
E-mail: lsm@wcc-coe.org


© 2002 world council of churches | remarks to webeditor@wcc-coe.org