Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1696585865196.pdf (Vanuatu)
Vanuatu Dept.

of Women’s Affairs Survey Introduction: The Vanuatu Council of Ministers agreed to Decision 156/2014 that all Ministers, Directors-­‐ General, Heads of Agencies and Institutions must nominate at least one woman when appointing or requesting nominations for task forces, committees, working groups, etc.
The Department of Women’s Affairs has been directed by the Council of Ministers to establish a database of qualified female public servants and women from other sectors to be made available to Ministers and other government officials for future appointments.

This survey will be used to create the database.

Please respond to the questions honestly and completely.
Please return the completed survey to: The Department of Women’s Affairs, PMB 091, Port Vila, Vanuatu ❶ Personal Information Please complete your biographical and contact information.

First Name Last Name Melanesian/Middle Name Date of Birth Current City/Village Name Current Island Current Province Home Island Home Province Mobile Phone Additional Mobile Phone Email ❷ Language Please state your language proficiency.
Fluent Spoken Advanced Basic Fluent Written Advanced Basic Language English French Bislama Other language: __________________ ❸ Educational Attainment Have you attended a formal educational institution?

Yes If no, please skip to the next section.

If yes, where did you attend and note level completed?

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of Women’s Affairs Survey Name of Institution Location of Institution Program of Study Years attended (YYYY-­‐YYYY) Level Primary Secondary Tertiary Additional Tertiary Qualification □ Completed □ Completed □ Certificate □ Diploma □ Bachelor Degree □ Master’s Degree □ Doctorate □ Certificate □ Diploma □ Bachelor Degree □ Master’s Degree □ Doctorate Have you attended a vocational/technical institution, e.g., Vanuatu Institute of Technology?
Yes No If no, please skip to the next section.

If yes, where did you attend and note level completed?

Name of Course(s) Name of Institution Location of Institution Program(s) of Study Expected Qualification Years of Study □ Certificate □ Diploma Are you currently enrolled in studies?

Yes No If no, please skip to the next section.

If yes, where do you attend and note level expected?
Name of Course(s) Name of Institution Location of Institution Program(s) of Study Expected Qualification Years of Study □ Certificate □ Diploma □ Bachelor Degree □ Master’s Degree □ PhD ❹ Informal Trainings and Workshops Attended Have you attended workshops presented by a UN agency, governmental group or NGO?

Yes No If no, please skip to the next section.

If yes, where did you attend and if you received a credential?

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of Women’s Affairs Survey Name of Training/Workshop Organisation Name of Training Year of Training (YYYY ) Tick if given certificate/ diploma Training/Workshop Topic Administration/Management Building Trades Business Development Climate Change Communications Community Organising Cultural Disaster Risk Reduction Education Environment Finance Food Security Gender Health Human Rights Hygiene/Housekeeping Information Technology Land Management Leadership Law Marketing MYOB Planning Policy Development Tourism Water and Sanitation Youth Development ❺ Employment Background Have you ever worked in formal employment?
Yes No Are you currently employed?

Yes No If no for both questions, please skip to the next section.

If yes, please list your work history.

Current employment history Name of Current Employer Location Position Dates Employed (YYYY – YYYY) Page | 3 Vanuatu Dept.

of Women’s Affairs Survey Past employment history Name of Previous Employer(s) Location Position Dates Employed (YYYY – YYYY) ❻ Public sector experience Have you previously been appointed to a committee?

Yes No If no, skip to the next section.


If yes, please note the details of the committee.

Committee Level Committee Type Name of Committee Location , e.g, City, Province Position, e.g., Chair, Member Dates of Service (YYYY – YYYY) □ Committee □ Working Group □ Task Force □ Committee □ Working Group □ Task Force □ Committee □ Working Group □ Task Force Type: National Provincial Municipal Other, e.g., kustom council Did you previously stand for election or receive an appointment?
Yes No If no, skip to the next section.

If yes, please note the details of the electoral office you sought.

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of Women’s Affairs Survey Ministry/ Department Position Election Outcome Election Date (MM/YYYY) Election Level National Provincial Municipal Other, e.g., kustom council Other Name: □ Won, Served □ Won, Did not serve □ Did not win □ Did not win, served in other capacity □ Appointed □ Won, Served □ Won, Did not serve □ Did not win □ Did not win, served in other capacity □ Appointed □ Won, Served □ Won, Did not serve □ Did not win □ Did not win, served in other capacity □ Appointed □ Won, Served □ Won, Did not serve □ Did not win □ Did not win, served in other capacity □ Appointed ❼ Expertise and Experience Please note all areas of public sector knowledge, where and how you gained expertise, and if you are interested in being considered for an appointment to this ministry or government department.
Area of Expertise Name of Organisation Location of Organisation Position Dates of Service (YYYY – YYYY) Tick if interested in appointment to this area Agriculture/Fisheries/Farm Business Civil Status Climate Change Community Development Disability Disaster Management Education Elections Environment Finance Page | 5 Vanuatu Dept.
of Women’s Affairs Survey Foreign Affairs Handicraft Health Human Rights IT/ Communication Tech Immigration Infrastructure/ Public Utilities Justice/Community Service Labour/Employment Land Management Local Authorities Police/Security Public Administration Trade/Commerce Tourism Youth and Sport ❽ Other Non-­‐Employment Types of Experience Please note other types of experience you have apart from work that improve your qualifications.
Types of Experience Name of Organisation Location of Organisation Organisation Position/Role Years of Service (YYYY – YYYY) Business Association Church Committee Civic Committee Community Association Non-­‐Governmental Org School Committee Women’s Group ❾ Personal Qualities How would you describe yourself?

Tick the top three (3) characteristics that best describe you.
□ □ □ □ □ Analytical Decisive Optimistic Personable Respected □ Collaborative □ Inspirational □ Organized Persuasive □ Thoughtful □ ❿ Other Qualifications Optional: Please note any other life experience/education/work to be considered.

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