Application: Auditor Candidate General Instructions: Please complete this application and send it to the following email address: cmutuku@ra.org and srazanamandranto@ra.org and racertafrica@ra.org The original file is protected, therefore, use "save as" in Word to create a file with your name as the candidate Attach your CV and picture with any relevant additional information. Section 1. General Information 1.1 Contact Information Name: Last Name: Date of birth(d/m/year): Female Male E-mail address: Telephone number Auditor Candidate Application Form- Sustainable Agriculture Network Page 1 de 7
Work: Mobile: Home: Fax: City Permanent address: Current address: Have you worked or served with professional services to any member of the Sustainable Agriculture Network or a certified client? YES Please explain: NO Scope of the training you are applying for: SAN-S-SP-1-V1.2 SAN Sustainable Agriculture Standard July 2017; SAN-R-SP-1-V1.2 SAN Certification Rules July 2017; SAN-S-SP-2-V1.2 SAN Lists for Pesticide Management; SAN-P-SP-7-V1.2Policy on Exceptional Use of Pesticides. SAN / RA Chain of Custody Standard SAN / RA Chain of Custody Policy SAN / RA Audit Processes and Certification Section 2. Academic and Professional Background 2.1 Higher education Title and year of finalized Degree Name of the Institution and Location Auditor Candidate Application Form- Sustainable Agriculture Network Page 2 de 7
2.2 Employment History (for both current and prior positions) Are you currently employed? YES NO What days and hours are you available for work? If applying for consultancy work, when will you be available to start? Employer (Address, Email) Job Title and responsibilities Starting and ending dates of employment Reason for leaving Areas of expertise: (Summarize briefly) 2.3 Languages. Please indicate the knowledge you have in other languages Mother tongue: Language Speak Write Read Auditor Candidate Application Form- Sustainable Agriculture Network Page 3 de 7
: communication / understanding / vocabulary at least, not enough to work or most social situations : communication / understanding / vocabulary sufficient for handling simple social and work situations : communication / understanding / vocabulary sufficient to handle common social and work situations, with minimal effort and errors : communication / understanding fluent or near mother tongue, large vocabulary, proper use with little or grammatical errors in all social and work situations. Section 3. Training and experience with the Sustainable Agriculture Standards and other certification schemes 3.1 Training. Please indicate if you have received formal training as part of the requirements to become an auditor of the Sustainable Agriculture Network. Start with the latest training. Training Responsible organization Instructor Date (Month/Year) Duration (Nº of hours) 3.2 Training and experience as an auditor for other certification or verification schemes. Name of the certification/verification scheme: Name of the certification (and inspection body if applicable): Are you an authorized auditor? Year of the first audit experience: Countries where you have audited: Month/Year of the most recent audit: Auditor Candidate Application Form- Sustainable Agriculture Network Page 4 de 7
Total number of audits: Trainings received in other schemes Description of the Training Responsible Organization Date (month/year) Duration (Nº of hours) Did you receive a certificate? 3.3 Other Relevant Training. Please specify other relevant training you have received over the past two years that improve your capacity as an auditor. Description of the Training Responsible Organization Date (month/year) Duration (Nº of hours) Did you receive a certificate? Auditor Candidate Application Form- Sustainable Agriculture Network Page 5 de 7
Section 4. Skills and personal background Why are you interested in being an auditor of the Sustainable Agriculture Network? What are your strengths or skills to become an auditor? What are the professional and technical advantages that would make you an excellent auditor? In case you have audit experience, please explain a situation when you have handled a conflict and specify how you solved it. What do you consider are the areas of professional or technical expertise within the Sustainable Agriculture Standards in which you require more training? Are you familiar with ISO 19011? If the answer is positive, how can you demonstrate this? Auditor Candidate Application Form- Sustainable Agriculture Network Page 6 de 7
4.2 References. List below three persons who have knowledge of your work performance within the last four years. Please include professional references only Name Organization Title E-mail Phone I permit the Sustainable Agriculture Network, Inspection or Certification bodies to examine my references, record of employment, education record, and any other information I have provided. I authorize the references I have listed to disclose any information related to my professional experiences with them, without giving me prior notice of such disclosure. In addition, I release the organizations, my former employers & all other persons, from any and all claims, demands or liabilities arising out of or in any way related to such examination or revelation Applicant s Signature: Date: Auditor Candidate Application Form- Sustainable Agriculture Network Page 7 de 7