Application Form

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Personal Information

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Name Prefix *

(Ms. Mr., Mrs.)

Name *

First

Last

Gender *

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Date of Birth *

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First Citizenship *

Second Citizenship

(if applicable)

Academic Title or Rank

Contact Information

Country/jurisdiction of residence *

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Address 1 *

Postal Code *

Primary Phone Number *

Address 2

City *

Secondary Phone Number

Primary Email Address *

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Secondary Email Address

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This preliminary project description explains the context in which you will be working against corrupt practices during the course of your studies in the ACA programme. When writing this, please keep the following in mind:

This application is not intended to be a project proposal. The actual project including objectives, activities, timelines, etc. will be developed during your course work. Please keep your answers descriptive rather than prescriptive.
One of the selection criteria for participants is the impact potential and feasibility of the projects, therefore your project area should not be subject to change during the programme.

Please fill in all boxes taking into account the maximum number of characters (including spaces).

Name of your project *

Indicate the name of your project here. You do not need to include any description. (max. 100 characters)

Summary Description of the Challenge/Project Context *

Please tell us briefly and concisely about your project and about the context in which it will be implemented. In doing so, you can explain what forms of corruption are operating in your context? What are the consequences of this type of corruption? Who suffers; who gains? What specific corruption problem do you want to tackle? What impact or benefits would happen if you were able to diminish this type of corruption? (max. 1500 characters)

Area *

Indicate the area of your project, e.g. transparency, compliance standards; sector; organization/company/institution; geographic area. (max. 300 characters)

Your role in the project *

What is your relationship to the project/context (staff member of a government agency/ civil society organization/ private sector company)? How might you be involved in this collective action effort against corruption? (max. 350 characters)

Potential stakeholders *

Who are the possible groups or key individuals who might participate in your proposed anti-corruption effort? You do not need to name individuals, but rather institutions/organizations that you foresee participating through representatives. What would motivate them to join an effort? (max. 600 characters)

Preliminary Short-term Objective *

Realistically, what do you think could be achieved with your project during your participation in the ACA Certificate? [Note that longer-term goals and objectives will be developed through the course work.] (max. 500 characters)

Preliminary identification of activities for your short-term objective *

Which activities will be undertaken in order to achieve your objective? (max. 1000 characters)

Implementation feasibility *

Collective action initiatives take time and resources. Please explain where the time and resources to implement your project will come from. Would this be part of your regular work/job responsibilities? Would you be doing this voluntarily on your free time? Is there a group that will provide support to you, for instance to host meetings? (max. 700 characters)

Organizational support *

Do you have the support of an organization to implement your project? If yes, please explain. (max. 300 characters)

Activities to ensure continuity and sustainability after certification completion *

How are you going to ensure the continuity and sustainability of the project achievements after the certification completion? (max. 700 characters)

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