Application for Participation Full Name * First Last Date of Birth * Sex * — Select — Male Female Email Address * Home Address Mobile Phone * Home Phone Greek Language Ability Reading * Very Good Good Weak Writing * Very Good Good Weak Speaking * Very Good Good Weak English Language Ability Reading * Very Good Good Weak Writing * Very Good Good Weak Speaking * Very Good Good Weak Other Languages Educational Background Institution / University 1 Employer From (Month/Year) To (Month/Year) Country Capacity Duties / Responsibilities Institution / University 2 Employer From (Month/Year) To (Month/Year) Country Capacity Duties / Responsibilities Institution / University 3 Employer From (Month/Year) To (Month/Year) Country Capacity Duties / Responsibilities Civic / Professional Societies List membership of professional societies and activities in civic, public, political or international affairs (most recent first) Organisation 1 Employer From (Month/Year) To (Month/Year) Country Capacity Duties / Responsibilities Organisation 2 Employer From (Month/Year) To (Month/Year) Country Capacity Duties / Responsibilities Organisation 3 Employer From (Month/Year) To (Month/Year) Country Capacity Duties / Responsibilities Organisation 4 Employer From (Month/Year) To (Month/Year) Country Capacity Duties / Responsibilities Work Experience including internships (most recent first) Employment 1 Employer From (Month/Year) To (Month/Year) Country Type — Select — Ministry/ Government agency Research Institute Educational Institution NGO Private Institution Other Employment 2 Employer From (Month/Year) To (Month/Year) Country Type — Select — Ministry/ Government agency Research Institute Educational Institution NGO Private Institution Other Employment 3 Employer From (Month/Year) To (Month/Year) Country Type — Select — Ministry/ Government agency Research Institute Educational Institution NGO Private Institution Other Employment 4 Employer From (Month/Year) To (Month/Year) Country Type — Select — Ministry/ Government agency Research Institute Educational Institution NGO Private Institution Other Reasons for applying Explain briefly (in no more than 500 words) the reasons why you decided to apply to the KAS Political Academy and how you think that your participation will help you in your future plans (especially in relation with your possible involvement in political and/or civil society affairs).