shjSEEN

Assessor Application Form

سجل في جريدتنا الإلكترونية

Personal Details

First Name

Surname

Mobile

Telephone

Date of Birth

Nationlaity

ORGANIZATION DETAILS

Company Name

Current Employer

Address

Position

Work Experience

Please provide work experience information during the last five years only.

Academic and Professional Qualifications (for New assessors only)

Main Academic and / or Professional Qualifications <br> (Please do not use abbreviations)	Date Achieved	Please attach a copy of the certificates only	Action
		View
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Training Attended

Please tell us about the top five most recent training attended in the last 2-3 years:

Main Training Attended Only (Please do not use abbreviations)	Date	Action

Please provide information on any Previous Assessor Experience if applicable

(e.g. SEEA, DQA, SKEA, Baldrige, BQF, EFQM… Etc)

AwardName	Date of Assessment	Place of Assessment	Action

Personal Statement - (For New Assessors Only)

Please entre in the box below your answers for the following questions;

1. Why should you be selected as an Assessor of the Sharjah Economic Excellence Network Award?
2. Can you dedicate "Quality Time" for this Process? If so, please state how.
3. Is there any specialty that you will bring to the assessment team? If yes, please explain.
4. Will your organization/company benefit from the skills and experience you will gain? If so, how?

Please write in the box provided below:

Availability / Important Notes

Approval from your employer is important before signing and committing with the shjSEEN, therefore please carefully read and understand all of the following and obtain the necessary signatures and approvals.

Answer the following questions by marking the appropriate boxes with an ✓	Available	Not Available
Are you available during Dec. - Jan 2018 to do the training, the assessments and the site visit with your team?

Your application has been submitted successfully.

Language	MotherTongue		Reading			Writing
Language	MotherTongue		Low	Average	High	Low	Average	High
	Yes	No
	Yes	No
	Yes	No
	Yes	No
	Yes	No

Start Date

Organization/Company Name

Position/Job Title

Briefly mention your key areas of responsibility