Caux Artists Program - Application Form

Please use this application form to apply to the Caux Artists Program during the Caux Forum 2019.

{ binding displayValue, mode=oneTime }

Personal details

Please check all that apply {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

First Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Last Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Gender {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

How did you learn about the Caux Artists Program? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Contact details

Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

E-Mail {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Facebook name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

SkypeID {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Phone Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

+Countrycode Number, i.e. +41 226543210

Family/Next of kin

Parent(s) or Guardian {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Citizenship

Date of birth {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

dd.mm.yyyy

Country of birth {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Nationality 1 {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Please name your country of origin.

Nationality 2 {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

if you have another nationality, please name the country.

Do you hold a valid passport which will still be valid 3 months after your visit in Caux? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

Passport no {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Date of expiration {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Country {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

I understand that I will need a valid passport in order to come to Caux {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{# pageNumbers}

Work experience

Please provide the information below. A resumé or CV may also be submitted. List your most recent employment first.

Experience {binding ItemNumber}

Employer: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Date of employment (start) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Date of employment (end) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

References

Please supply two (2) written references, including at least one academic reference. These written references may be uploaded directly in .pdf format at the end of this application form, sent directly to us by email (cauxartists@iofc.org) or with your application in a sealed envelope.

First reference

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Title {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Email Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Phone number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

+Countrycode Number, i.e. +41 226543210

Second reference

(note that no close family related reference will be taken into account)

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Title {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Email Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Phone number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

+Countrycode Number, i.e. +41 226543210

Finances

How do you plan to pay for the program? Please check the relevant option {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

Academic History

A resumé or CV may also be uploaded at the end of the application process or sent per email.

Item {binding ItemNumber}

University {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Number of years at university {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Date of Enrollment: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Graduation date: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Major Degree: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

2nd Major/Minor: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Offices Held & Honors {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

SKILLS

Please describe your talents, skills, hobbies and/or special interests: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

English proficiency

{{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

	Very Poor	Poor	Good	Very Good	Native / Bilingual
{{ $context.parentContext.dataItem.get_label() }}	{ binding displayValue, mode=oneTime }

{{ $context.parentContext.dataItem.get_label() }}	{ binding displayValue, mode=oneTime }

Other languages

If not in the dropdown list, please specify

Language {binding ItemNumber}

Proficiency {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

	Very Poor	Poor	Good	Very Good	Native / Bilingual
{{ $context.parentContext.dataItem.get_label() }}	{ binding displayValue, mode=oneTime }

{{ $context.parentContext.dataItem.get_label() }}	{ binding displayValue, mode=oneTime }

The Caux Artists Program strives for a diverse class of participants in nationality, gender and faith.

Religious affiliation (optional) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Essay

In 150 words or less, please describe why you would like to participate in the CAUX ARTISTS PROGRAM.

Essay {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Your response is very important, and we would like to know what motivates you, what you really care about. It will help distinguish you from other candidates for our limited number of places.

{# pageNumbers}

Application confirmation

Please confirm application and use this space to submit your documents.

CV {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

Max 1MB

Photo {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

Max 5 MB

References {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

You can upload your 2 references here (max. 5 MB).

I accept that Initiatives of Change Switzerland keeps my personal details during the application process of the Caux Artists Program {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

The consent can be withdrawn at any time and will close the application process.

If you have any questions:

e-mail: cauxartists@cauxforum.org (preferable method)
CAUX ARTISTS PROGRAM PO Box 86 Harrisonburg, VA 22803 USA
call Bev Appleton, Caux Artists Program Director: Tel: ++ 540.867.5571 (USA)

{# pageNumbers}

Caux Artists Program - Application Form

Personal details

Please check all that apply {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

First Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Last Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Gender {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

How did you learn about the Caux Artists Program? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Contact details

Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

E-Mail {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Facebook name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

SkypeID {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Family/Next of kin

Parent(s) or Guardian {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Citizenship

Date of birth {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Country of birth {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Nationality 1 {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Nationality 2 {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Do you hold a valid passport which will still be valid 3 months after your visit in Caux? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Passport no {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Date of expiration {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Country {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

I understand that I will need a valid passport in order to come to Caux {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Work experience

Experience {binding ItemNumber}

Employer: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Date of employment (start) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Date of employment (end) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

References

First reference

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Title {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Email Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Second reference

(note that no close family related reference will be taken into account)

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Title {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Email Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Finances

How do you plan to pay for the program? Please check the relevant option {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Academic History

Item {binding ItemNumber}

University {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Number of years at university {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Date of Enrollment: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Graduation date: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Major Degree: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

2nd Major/Minor: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Offices Held & Honors {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

SKILLS

Please describe your talents, skills, hobbies and/or special interests: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

English proficiency

{{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Other languages

Language {binding ItemNumber}

Proficiency {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

The Caux Artists Program strives for a diverse class of participants in nationality, gender and faith.

Religious affiliation (optional) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Essay

Essay {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Application confirmation

CV {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

Photo {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

References {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

{binding displayValue}

If you have any questions:

e-mail: cauxartists@cauxforum.org (preferable method)
CAUX ARTISTS PROGRAM PO Box 86 Harrisonburg, VA 22803 USA
call Bev Appleton, Caux Artists Program Director: Tel: ++ 540.867.5571 (USA)

The email has been sent.

Your progress has been saved.

Copy your form link:

Email me my link:

{ binding firstError.message }

Caux Artists Program - Application Form

Please use this application form to apply to the Caux Artists Program during the Caux Forum 2019.

Personal details

Please check all that apply {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

First Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Last Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Gender {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

How did you learn about the Caux Artists Program? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Contact details

Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

E-Mail {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Facebook name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

SkypeID {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Family/Next of kin

Parent(s) or Guardian {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Citizenship

Date of birth {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Country of birth {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Nationality 1 {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Nationality 2 {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Do you hold a valid passport which will still be valid 3 months after your visit in Caux? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Passport no {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Date of expiration {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Country {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

I understand that I will need a valid passport in order to come to Caux {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Work experience

Experience {binding ItemNumber}

Employer: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Date of employment (start) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Date of employment (end) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

References

First reference

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Title {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Email Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Second reference

(note that no close family related reference will be taken into account)

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Title {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Email Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Finances

How do you plan to pay for the program? Please check the relevant option {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Academic History

Item {binding ItemNumber}

University {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Number of years at university {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Date of Enrollment: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Graduation date: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Major Degree: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

2nd Major/Minor: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Offices Held & Honors {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

SKILLS

Please describe your talents, skills, hobbies and/or special interests: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

English proficiency

{{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Other languages

Language {binding ItemNumber}

Proficiency {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

The Caux Artists Program strives for a diverse class of participants in nationality, gender and faith.

Religious affiliation (optional) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Essay

Essay {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Application confirmation

CV {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

Photo {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

References {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

{binding displayValue}

If you have any questions:

e-mail: cauxartists@cauxforum.org (preferable method)
CAUX ARTISTS PROGRAM PO Box 86 Harrisonburg, VA 22803 USA
call Bev Appleton, Caux Artists Program Director: Tel: ++ 540.867.5571 (USA)