CFMUNESCO 2015 Model United Nations Cividale del Friuli Convitto Nazionale Paolo Diacono
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1 FORM II DELEGATES AND CHAIRS APPLICATION FORM 26 th - 28 th November This Application Form (Form II) must be completed and sent back no later than Saturday 3 rd October 2015 to the following address: cfmunesco@cnpd.it Name of the school: Advisor s Name: A) DELEGATES GENERAL INFORMATION Number of Delegations: Delegation size Number: 2 seats 3 seats 4 seats 5 seats Each delegation consists of 2, 3, 4 or 5 delegates. Please note that all 5- seats delegations and some of the 4-seats delegations include a seat in the Security Council.
2 List of countries of preference (max. 5 choices): On our MUN website you can find a UN Member States list with committees that you can use for reference. Please note that the all preferences expressed are not bounding for CFMUNESCO Total Number of Delegates: Please state name and surname of all Delegate Applicants and specify any allergies, medical problems suffered, medication currently taken as well as food preferences (e.g. vegetarian or vegan). (add rows if necessary) Delegate s Name and Surname Allergies/Medical Problems/ Medication Food preferences 1) 2) 3)
3 4) 5) 6) 7) 8) 9) 10) B) CHAIRS GENERAL INFORMATION Total number of Chairs Applicants: Please state name of Chairs Applicants and specify any allergies, medical problems suffered, medication currently taken as well as food preferences (e.g. vegetarian or vegan). (Add rows if necessary) Chair s Name and Surname Allergies/Medical Problems/Medication Food preferences 1) 2) 3) 4)
4 5) All Chairs Applicants are required to fill in the specific Application Form (Form III Chairs Selection Information) before Saturday 3 rd October 2015 in order to fully complete their application. C) ADVISORS GENERAL INFORMATION Total number of Advisors (Teachers): and number of Student Advisors: Please state name, phone number and address of the Advisors (Teachers) and Student Advisors and specify any allergies, medical problems suffered, medication currently taken as well as food preferences (e.g. vegetarian or vegan). (Add rows if necessary) 1) Name and Surname * Phone Number Address Allergies/ Medical Problems/ Medication Food preferences 2) 3) * Please specify T=Teacher or S= Student Advisor
5 D) PAYMENT DETAILS The participation fee per student (either Delegate or Chair) is 85 and it must be paid in a lump sum by the school choosing one of the undermentioned methods. Total number of delegates, chairs and Student Advisors: x 85 = The fee includes admission, lunches, a delegate-kit and entrance to the parties and social events organised. Advisors (teachers) are exempted from the fee. Methods of payment: - cheques or a bank draft, made payable to the Convitto Nazionale Paolo Diacono, - bank transfer using the details below: BANCA POPOLARE DI VICENZA - IBAN Code: IT43R Country: IT CIN: R ABI: CAB: On your bank transfer you must state the name of your school, the number of students participating and Fee for. You are also invited to forward our school a separate copy of your bank transfer by (cfmunesco@cnpd.it) to assist accounting procedures. For any further information or clarification, do not hesitate to contact us at : cfmunesco@cnpd.it
6 E) REQUIRED DOCUMENTS Please send all the required documents listed below to the following address before Saturday 3 rd October 2015: cfmunesco@cnpd.it 1. Delegates and Chairs Application Form (Form II) 2. Chairs Selection Information (Form III) The subject line of your must contain: School Name, Country. Please ensure that all documents are submitted at the same time to process your application as soon as possible. F) DECLARATION On behalf of (School Name) I hereby declare that the information provided in this application is accurate and complete. I authorize the to handle and use the abovementioned data/information for the purposes of the conference. Date: Advisor name and signature: All information obtained will be kept in strictest confidence and used for recruitment, assessment and statistical purposes only
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