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Reconstructing Societies in the Wake of Conflict: Transitional Justice and Economic Development
WPSP Logo

Mount Holyoke College, Simmons College and Smith College
May 25-June 6, 2014
Reconstructing Societies in the Wake of Conflict: Transitional Justice
and Economic Development

Please fill out this form as accurately as possible and submit no later than February 4, 2014. Please plan to fill out the form in one sitting as your schedule allows and be sure to click the Submit button after reviewing your entries. If you close your browser or take longer than 30 minutes, your information will not be saved.


Questions marked with * are required.
BIOGRAPHICAL INFORMATION
First Name* 
Last Name* 
Preferred Name (nickname)
Address* 
Current Country of Residence* 
Country of Citizenship* 
Phone Number* 
Email* 
Age* 

WORK DETAILS
Current Profession/Public Service Position/Organizational Title* 
Current Location of Work* 
 
Type of Organization (please check and specify)*
Government Agency
Legislative Office
Non-Governmental Organization
Grass Roots Organization
Other Public Sector
Private Sector
Other

BACKGROUND AND EDUCATION
The institute is conducted in English. Please indicate your language abilities.*
Please indicate highest degree.*
Field* 
Institution* 
Year* 
Primary Area of Work/Experience/Engagement.*
 
Please list previous travel, training, employment or study in the United States*
(Include dates, purpose, location, and institutions/organizations.)

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STATEMENT OF PURPOSE
Your responses to the questions below will help us learn about you and your commitment to public service and women's leadership. Please use concrete examples. (There is a limit of 250 characters per section.)
 
1) Describe your current work as an emerging or established leader in addressing post-conflict issues in your country. How has your previous experience prepared you for participation in the institute?*

250 characters allowed: characters left
 
2) Describe a specific challenge in the areas of peacebuilding, transitional or restorative justice, and/or economic development and how you applied your knowledge and experience to manage the challenge.*

250 characters allowed: characters left
 
3) Describe the specific initiative, policy or project that you hope to develop or expand during the Institute and how you will implement it once you return home. What challenges go you anticipate in the implementation process specific to your courntry or community? How will you make use of a global network of women?.*

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How did you hear about the Women in Public Service Project? Please check all that apply and specify.*
Colleague
Employer
Friend
MHC/Smith Alum
Social Media
Website
U.S. Embassy
Other
 
References: Please share the name, title, and contact information (phone and email) of two people with recent knowledge of your work. For example, an employer, mentor, teacher, coworker, or former WPSP delegate. *
 
Reference 1: Name* 
Reference 1: Title* 
Reference 1: Contact information* 
Reference 1: Relationship to you* 
 
Reference 2: Name* 
Reference 2: Title* 
Reference 2: Contact information* 
Reference 2: Relationship to you* 

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