Vacancy Application Form Help completing the form

To enable us to give full attention to your application it is essential that you carefully complete all items below.

When sending this form to ESA please attach your personal CV and a cover letter in a single electronic file (PDF or Microsoft Word format).

In accordance with the European Space Agency's security procedures and as part of the selection process, successful candidates will be required to undergo basic screening before appointment. ESA also reserves the right to conduct in-depth investigations as required and in accordance with its security policy.

You are applying for:  
Personal information
Title: Family Name: 
First Name:
Name at Birth
Maiden Name
Date of Birth Day: Month: Year(YYYY):
Place of Birth Town: Country:
Nationality
  Do you hold a second Nationality? NO
YES Which? 
Correspondence Address
Street: Telephone Home:
Postal Code: Mobile Phone:
Town: E-Mail Home:
Province / State:
Country:
Home Address (if different from above)
Street:
Postal Code: Can we call you at your office?
Town:   YES NO 
Province / State: Telephone Business:
Country: E-Mail Business:
Family:
Marital Status:   Married:  Separated:  Divorced:  Widow(er):  Single: 
No. of Children:   Please give ages
Languages:
Mother Tongue:
  Writing Reading Speaking
French
English
Other Languages  
Have you Ever Previously Applied For A Post In ESA? YES  NO 
Were you interviewed? YES  NO 
If Yes, please provide details
 
In which countries are you prepared to work?
France:  The Netherlands:  Germany:  Italy:  Other:
Education: Name & Location Title Obtained Major Subjects
(Title of Diploma)		 Dates
From - To
Secondary School
College or University
Post University Degree
Fields of Specialisation
Please provide a list of theses, patents, publications and other significant work you have done.
Have you any objection to our making enquiries to verify the authenticity of your diplomas and degrees?
YES  NO 
Computer skills:
Please list software packages with which you are familiar. Using the boxes below to define your level of expertise.
Excellent: Good:  Fair:  Poor: 
Present Employer
Company /Address Present position
From To
Name and position of person to whom you report
Annual Salary (gross)
(Specify Currency)		 Annual Salary (net) after tax and social security contributions
(Specify Currency)
Other benefits in kind
Yearly budget responsibility Number of people reporting directly to you or for whom you are responsible
Describe duties and scope of responsibilities.
How Much notice must you give to leave?
Motivation for changing
In case of recruitment, do you have any objection to our making enquiries of your present employer?
YES  NO 
Previous Employer
Company / Address Position Held
From To
Name and position of person to whom you reported
Annual Salary (gross)
(Specify Currency)		 Annual Salary (net) after tax and social security contributions
(Specify Currency)
Other benefits in kind
Yearly budget responsibility Number of people reporting directly to you or for whom you are responsible
Describe duties and scope of responsibilities.
Reasons for leaving
If you have held more than two posts, please give details below.
Please describe below your experience relevant to the requirements of the post you are applying for.
Military Service.
From:  To:  Duties: 
Referees (not relatives):note that referees may be contacted without candidates being informed beforehand.
Name Position Address,
Telephone Number and
Email Address
Relatives or Acquaintances
Do you have a spouse, child, parent, brother or sister working at ESA? Have you any acquaintances working at ESA?
NO  NO 
YES   Please specify name and relationship YES   Please specify name
   
Curriculum Vitae:
Please attach your CV and a cover letter - PDF or Microsoft Word format - in a single electronic file (Mandatory).
How did you learn about this job opportunity (ESA Web site, Newspaper, Word of mouth, Other).
 

 
In submitting this application, I certify that the statements made are true, complete and correct to the best of my knowledge. I am aware that I will be requested to supply supporting documents such as payslips, birth certificate, passport or any other identity documents and certified copies of diplomas and certificates, in support of the statements I made for this application.