PROGRAM APPLICATION FORM

1. PROGRAM APPLICATION FORM Attach Your Scanned Photo Seoul Human Resource Development Center Metropolis International Institute Headquarter Nambusunhwan-ro 340-gil 58, Seocho-gu, Seoul, 137-071, Korea Phone: 82 2 3488 2059 Fax: 82 2 3488 2346 Web : http://www.facebook.com/shrdcinfo E-mail: shrdcinfo@gmail.com Note: Please type in the form in English alphabets or tick(√ ), do not in hand-write for legibility “N/A” should be used where applicable. Do not leave any space blank. Ⅰ. PROGRAM TITLE : Type Here Ⅱ. PERSONAL DATA : (First) (Middle) (Last Name) Emergency Contact Name : Emergency Contact Number : (country code) (area code) Dietary Requirements : ※I don’t like/eat VISA: I need an invitation letter to apply for entry visa issuance. Yes ( ) / No( ) Ⅲ. EMPLOYMENT AND EDUCATION Present Position/Title: Department or Division: Name of Organization: Address: Type of Organization: City/Local Government ( ) Autonomous Institution of City/Local Government ( ) Other ( please specify : ) Term of Employment: from ( ) to present

2. Ⅲ. EMPLOYMENT AND EDUCATION (Continued) Describe your present duties Training experiences in Korea (if any) Yes ( ) No ( ) Name and Period of Program : Organized by : Ⅳ. ENGLISH LANGUAGE PROFICIENCY *Please tick(√) the box. Mother Tongue : Other Languages: V. STATEMENT OF MOTIVATION AND WHAT YOU WANT TO LEARN Ⅵ. What module of the program do you expect to be most valuable?

3. If accepted as a participant, I agree: • To follow the training program to the best of my ability and abide by the rules of the SHRDC during the training program; • 2) To refrain from engaging in political activities, or any form of employment • for profit or gain; • 3) To return to my home country upon completion of my training program • and to resume work in my country; • 4) To accept that the SHRDC is not liable for any damage or loss of my • personal property; and • 5) To accept that the SHRDC will not assume any responsibility for illness, • injury, or death arising from extracurricular activities, willful misconduct, • or undisclosed pre-existing medical conditions, however, SHRDC will • prioritize safety/accident insurance for each participant. Applicant's Name: Date : Signature:

4. Letter of Recommendation Paul Moon President Seoul Human Resource Development Center Nambusunhwan-ro 340-gil 58 (Seocho-dong 391), Seocho-gu, Seoul 137-071, South Korea Dear, President Paul Moon Upon understanding goals and objectives of your international training course and hoping to promote our administrative exchanges, I hereby recommend the following person as our city’s participant in your training program. I guarantee that our applicant will abide by all laws and rules of your city during the program period and will resume his/her job upon completing the course. [Applicant’s Profile] • Name of training program: • Applicant’s first name : • Applicant’s last name : • Position : 1. Department: 2. Date of Birth: Date: [Recommender’s Profile] Title: Name: Signature: