Application form for Participation in the training of the SOLID project.

Please read the information note before completing this application and ensure you complete all sections and provide any supporting material requested, use a separate sheet if necessary.

Please also ensure that the application is signed by both the applicant and the nominating organisation.

Return to:

SOLID training recruitment panel

Northern Ireland Council for Ethnic Minorities

3^rd Floor Ascot House

24-31 Shaftesbury Square

Belfast

BT2 3DW

Tel: +44 (0)28 90238645

Fax: +44 (0)28 90319485

Deadline for applications: Monday 31^st May 2005

_______________________________________________________

Section 1

Which training are you applying for (please tick)?

Pilot 1 (organisations working in Slovakia, Sweden or Belgium) c

Pilot 2 (organisations working in Hungary, Italy or UK) c

_______________________________________________________

Section 2 – The organisation

Name of organisation

_____________________________________________________

Country of work (if more than one, please state country in which the majority of work is conducted)

___________________________________________________

Address______________________________________________________________________________________________________________________________

Telephone_________________fax__________________________

E-mail___________________________website________________

1. Please provide below a brief description of the organisation’s main purpose and activities.

2. Does your organisation either (a) already offer advice/support to victims of race discrimination (not limited to legal support) or (b) is it in a position to offer this advice/support? Please give details, including planned activities in 2005/2006.

3. Which ethnic or racial minority group(s) does your organisation work with?

______________________________________________________

4. If you feel that your organisation would play a particular role/have a particular contribution in the formation or implementation of a national strategy on litigation and support, please give details.

Section 3 - The applicant

Name_______________________________________________

Job Title________________________________________________

Contact details (if different from above)

Address_______________________________________________________________________________________________________

Telephone__________________fax_______________________

E-mail___________________________Mobile_________________

1. Please describe your role within the organisation

2. How long have you been involved with your organisation?

______________________

3. Please give details of your experience as you feel it relates to this training, in particular experience relating to advocacy (not limited to legal, see definition in information sheet 2). For example, please mention any experience you have in acting as an advocate for victims of discrimination, in delivering/receiving relevant training, lobbying and campaigning etc.

If preferred, an up to date CV detailing this information will also be accepted.

4. Please give details of your interest in discrimination law and its enforcement

5. Have you been involved in/applied for any other training programmes funded under the European Commission Community Action Programme Against Discrimination? Please specify.

6. What level of English language proficiency do you have (please circle)?

Speaking Skills High Medium Low

Listening Skills High Medium Low

Writing Skills High Medium Low

Additional Information. The following information will not be used in selection.

Please let us know if you require any reasonable adjustments, due to disability, to enable you to take part in this training, or which you wish to be taken into account when your application is considered. Reasonable adjustments are things like sign language interpreters, making the accommodation and training rooms accessible for you, written materials in accessible formats.

If you would like to discuss your disability requirements further please contact:

Françoise Barlet

Administrative Worker (SOLID Project)

Northern Ireland Council for Ethnic Minorities

3^rd Floor Ascot House

24-31 Shaftesbury Square

Belfast

BT2 3DW

Tel: +44 (0)28 90238645

Fax: +44 (0)28 90319485

E-mail: fbarlet@nicem.org.uk

Do you have any dietary requirements (vegetarian, food allergies, hallal, kosher etc)? If so, please specify

_________________________________________________

Do you require a visa to travel within EU Member States?

________________________

Please sign and date the following declarations:

Organisation declaration

________________________________________________________(insert name of organisation) is willing to commit to:

· Involvement in the development of a national strategy on litigation and support, and to communicate with the SOLID project following the training regarding the development and implementation of the strategy; and

· Involvement in National networks as part of the development and implementation of a national strategy on litigation and support.

I declare that the information contained in this application and supporting material is true, complete and correct to the best of my knowledge and belief.

Signature (representative of the organisation)

______________________________

Place/date_________________________

Individual declaration

I commit to attendance at the entire training session, and to participation, as appropriate, in implementing the organisational commitments made above.

I declare that the information contained in this application and supporting material is true, complete and correct to the best of my knowledge and belief.

Signature__________________________Place/Date____________________________