food and agriculture organization of the united nations

Viale delle Terme di Caracalla, 00100 - ROME, ITALY

PERSONAL HISTORY FORM

CANDIDATE TO
INSTRUCTIONS: Please answer each question clearly and completely. Read carefully and follow all directions. Pls. use tab key to move to next field. If you need more space, attach additional pages of the same size. Be sure to sign and date the form.

AFFIX PHOTOGRAPH

HERE
1. Family name

First name

Middle name

Maiden name

2. Present residence (specify city, province or state and country)

3. Length of present residence

8. Telephone

4. Mailing address

9. Fax (if any)

5. Place of birth

6.	Date of birth
(day, month, year)

7. Present nationality(ies)

10.E-mail (if any)

11. Sex

Male

Female	12. Marital Status

Single

Married

Divorced

Separated

Widow(er)
13.	Language
(List mother tongue first)

READ

WRITE

SPEAK	14. For secretarial/clerical grades only, indicate speed in words per minute.
YOU MAY BE TESTED IN THESE

LANGUAGES	Excel-lent

Good

Fair

Slight

Excel-lent

Good

Fair

Slight

Excel-lent

Good

Fair

Slight

Typing

Shorthand

Please indicate the language for correspondence	English	French	Spanish

16. Indicate your professional (working) fields of expertise from the following sectors and job titles

Accounting/Audit/Financial Management

Agricultural finance/Credit/Investment

Agricultural policy

Agriculture/Agronomy

Agro-industries/Post harvest systems

Commodities and trade

Computer sciences/Information systems

Economics/Econometrics

Education/Extension/Training

Engineering/Mechanization

Environmental sciences

Farm management/Farming systems

Fisheries

Food security/Food aid

Forestry

Horticulture

Human resources/Personnel management

Legal

Librarian/Document systems

Livestock/Veterinary

Management/Administration/Conference

Marketing

Medical

Nutrition

O&M/Institutions/Development management

Plant Production and protection

Project analysis and evaluation

Publishing/Media/Writing/Public information

Research and development

Rural development and agrarian reform

Secretary/Stenographer/Clerical

Sociology

Soils sciences and land management

Statistics

Translator/Interpreter/Verbatim reporter

Water resource management

Women in development

Other (specify below)

For what kind of work do you wish to be considered

If responding to a Vacancy Announcement, please quote the number

Please submit one application for each Vacancy Announcement
19. Computer skills	Excellent	Good	Fair	Slight
Briefly indicate the computer packages that you normally use

PLEASE NOTE THAT IN EVALUATING YOUR CANDIDATURE FAO RESERVES THE RIGHT TO APPROACH YOUR PREVIOUS EMPLOYER(S) FOR REFERENCES. IT IS NOT OUR POLICY TO APPROACH YOUR PRESENT EMPLOYER AT THE EVALUATION STAGE UNLESS YOU EXPRESSLY AUTHORIZE THIS.

HAVE YOU ANY OBJECTIONS TO OUR MAKING INQUIRIES OF YOUR PRESENT EMPLOYER?	Yes	No

PLEASE NOTE, HOWEVER, THAT BEFORE MAKING AN OFFER OF EMPLOYMENT FAO IS REQUIRED TO CONTACT BOTH YOUR PRESENT AND PREVIOUS EMPLOYERS.
I certify that the statements made by me are true, complete and correct to the best of my knowledge and belief. I understand that any false statements or any required information that is withheld from this form may provide grounds for the withdrawal of any offer of appointment or dismissal if an appoint has been accepted.

Date

Signature
Your application for employment, if found useful to our overall programme, will be retained on our roster

for a maximum period of 24 months

Education: give full detail

University or equivalent. You maybe required to furnish proof of degree obtained. DO NOT ENCLOSE WITH THIS FORM.

Years attended	Degrees and academic
Name and place	From	To	distinctions obtained	Main subjects

(B) Schools or other formal education or training from age 14 (e.g. high school, technical school or apprenticeship)

Years attended
Name and place	From	To	Certificates, diplomas obtained	Type
EMPLOYMENT RECORD Starting with your present or most recent post, list in reverse order every employment during the last ten years and any significant experience not included in that period which you believe will be helpful in evaluating your record.

PLEASE NOTE THAT, BEFORE ANY OFFER OF APPOINTMENT IS MADE TO YOU, FAO WILL CONTACT YOUR PRESENT AND PREVIOUS EMPLOYERS FOR WORK REFERENCES. IF THERE ARE OTHER WORK-RELATED REFERENCES YOU WISH TO HAVE

TAKEN INTO ACCOUNT, PLEASE INDICATE.

Dates	Exact title of your post
From

To

Salary per annum

(Excluding allowances)
Name of supervisor	Duty station	Starting
Present
Name of employer

Type of business

Allowances, etc.

+
Address of employer

Number and kind of employees supervised by you

Total tax (estimated)

-

Reason for leaving, if applicable

Net salary

=
Telephone

Fax (if any)

E-mail (if any)

DESCRIPTION OF YOUR WORK

Dates	Exact title of your post
From

To

Salary per annum

(Excluding allowances)
Name of supervisor	Duty station	Starting
Final
Name of employer

Type of business

Address of employer

Number and kind of employees supervised by you

Reason for leaving, if applicable

Telephone

Fax (if any)

E-mail (if any)

DESCRIPTION OF YOUR WORK

Dates	Exact title of your post
From

To

Salary per annum

(Excluding allowances)
Name of supervisor	Duty station	Starting
Final
Name of employer

Type of business

Address of employer

Number and kind of employees supervised by you

Reason for leaving, if applicable

Telephone

Fax (if any)

E-mail (if any)

DESCRIPTION OF YOUR WORK

Dates	Exact title of your post
From

To

Salary per annum

(Excluding allowances)
Name of supervisor	Duty station	Starting
Final
Name of employer

Type of business

Address of employer

Number and kind of employees supervised by you

Reason for leaving, if applicable

Telephone

Fax (if any)

E-mail (if any)

DESCRIPTION OF YOUR WORK

List membership in any professional societies and activities in civic, public or international affairs

List any significant publications you have written. PLEASE DO NOT ENCLOSE

Have you any dependants?	Yes	No	If answer is “Yes”, give the following information

Name	Date of birth	Relationship	Name	Date of birth	Relationship
Have you taken up legal residence status in any country other than that of your nationality?	Yes	No

If answer is “Yes”, which country?

Have you taken any legal steps towards changing your present nationality?	Yes	No

If answer is “Yes”, explain fully

Are you currently working for an international organization?	Yes	No

If answer is “Yes”, which organization?

Have you any relatives who are employed by a public international organization?	Yes	No

If answer is “Yes”, give the following information

Name	Relationship	Organization
Employment by the Organizations may require assignment and travel to any area.

Have you any disabilities or reservations that may restrict your activities in this respect?	Yes	No

If answer is “Yes”, explain fully

Would you accept short-term employment?	Yes	No

If answer is “Yes”, indicate	I to 3 months	3 to 6 months	6 to 12 months

May we refer this Personal History Form to another United Nations agency if appropriate?	Yes	No

Have you previously submitted an application for employment with an international orgnization?	Yes	No

Are you under any obligation to return/stay in the service of your government or other public sector

employer in recognition of sponsored training or education?	Yes	No

Legal convictions (include all convictions other than those for minor violations of road traffic regulations)

Charge	Date	Where tried	Conviction
State any other relevant facts. Include information regarding any residence or prolonged travel abroad, giving dates, areas, purposes, etc.

Also state any disability that might limit your field of work. Final appointment will be subject to a physical examination.

ADM:AFP11E 96/1	Page 1 of 4

Personal History Form

Tanya Alexander

2005-09-06

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