VACANCY NOTICE. HEAD of JOINT SECRETARIAT for (Interreg V-A) Italy - Croatia CBC Programme. Annex 1 - Application Form Template

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VACANCY NOTICE HEAD of JOINT SECRETARIAT for 2014-2020 (Interreg V-A) Italy - Croatia CBC Programme Annex 1 - Application Form Template European Regional Development Fund www.italy-croatia.eu

VACANCY NOTICE HEAD of JOINT SECRETARIAT for 2014-2020 (Interreg V-A) Italy - Croatia CBC Programme Annex 1 - Application Form Template To Veneto Region Organizational Unit MA of Italy-Croatia CBC Programme italia.croazia@pec.regione.veneto.it I, the undersigned (First Name followed by Family Name) ask To be admitted to the personnel selection through comparison between curricula and subsequent interview for the role of Joint Secretariat Head of the Italy-Croatia CBC Programme. On the basis of Italian Law (art. 46 and 47 of Decree of President of Italian Republic (D.P.R.) n. 445/2000) and having regard to art. 13 of Regulation (EU) 2016/679 of the European Parliament and of the Council, of 27 April 2016, on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC (General Data Protection Regulation) and aware of the legal consequences in case of false declarations, in accordance with art. 76 of D.P.R. n. 445/2000, I declare Place of birth (Town, Country) date (dd/mm/yyyy) Permanent Address ZIP Code Town Country Tel. Mob. E-mail European Regional Development Fund www.italy-croatia.eu 1

I require to send all communications concerning the above mentioned selection procedure to the following address (only if different from the previous one): Address ZIP Code Town Country Tel. Mob. E-mail I declare on my own my responsibility On the basis of Italian Law and aware of the legal consequences in case of false declarations, in accordance with art. 76 of D.P.R. 445/2000, (please tick) To have the following University degree 1 (degree course lasting at least four-year): University, Location Degree Duration of academic curriculum date of the Degree (award) ; To have citizenship (s); To enjoy my full rights as a citizen; To have not been convicted of any criminal offence and to have no criminal case pending against me; To have performed military/civil service obligations imposed by the applicable laws (if applicable); To be / not be employee of a public administration (if it is so, indicate the name of the public administration ) 1 If the university degree is not obtained in Italy, the applicant will present the certification of recognition of foreign study qualifications within the deadline which will be given by Veneto Region. European Regional Development Fund www.italy-croatia.eu 2

I declare on my own responsibility pursuant to art. 46 and 47 of D.P.R. n. 445/2000 and aware of the legal consequences in case of false declarations, in accordance with art. 76 of D.P.R. 445/2000, (please tick) To have an excellent spoken and written English level (level C1 in the Europass Language Passport classification or equivalent); That the Curriculum Vitae attached is true and correct (the CV is written on EU format, dated and signed with specific references to exact dates of the professional experience, employers and if the position has been/is full time or part time. In case of absence of exact dates, the professional experience cannot be considered); To have the following professional experiences: (1) To have at least 7 years of professional experience in projects or programmes cofinanced by Structural, ESI or IPA funds. The periods of possible overlapping between more than one position are counted only once (2) To have at least 5 years of professional experience in management of European Territorial Cooperation programmes at Programme level (3) To have at least 4 years of experience in team management as specified in the following table (please summarize the professional experiences and tick which eligibility requirements they refer to; the same professional experience can refer to one or more eligibility requirements): Professional experience at the (body/company) with contract from _/_/_/ to _/_/ (total months ) Role: Main tasks: Professional experience at the (body/company) with contract from _/_/_/ to _/_/ (total months ) Role: Main tasks:. (1) (2) (3) European Regional Development Fund www.italy-croatia.eu 3

Attachments: 1) Copy of a valid identification document (e.g. Passport / ID card): type n. 2) Curriculum Vitae in Europass format (duly signed and dated) 2 3) Other attachments (i.e. certificate of knowledge of English language above C1 level) (Place and date) (I) (original signature in extended version ) (I) This statement is undersigned by the applicant and presented along with a nonauthenticated copy of identification document of the signer or through other modalities indicated by art. 38 of D.P.R. 445/2000. Personal data protection I declare to be informed, pursuant to art. 13 of Regulation (EU) 2016/679 of the European Parliament and of the Council, of 27 April 2016, on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC (General Data Protection Regulation), as reported in the document Information on the personal data processing available on the websites where this vacancy notice is published. (Place and date) (original signature in extended version ) 2 Please include the privacy clause, i.e. the authorization to process personal data for this personnel selection purposes. European Regional Development Fund www.italy-croatia.eu 4