ICMA International Management Exchange Program (IMEP) Application for CAMA Members Survey

ICMA and CAMA seek members in Canada to be matched with their colleagues in Belgium/Flanders.

Applicants have to be current ICMA members during the time of application and available for hosting a Belgium colleague for up to 2 weeks in September 2020 around ICMA Annual Conference in Toronto (between September 23-26) and a 2-week trip to Belgium in May 2021 around ICMA European City Managers Annual Summit in Turnhout.

Please submit your application by March 20, 2020!

Please send a copy of your resume including information such as: education, professional qualifications, offices held, and employment history to Berna Oztekin-Gunaydin at boztekin@icma.org.

The evaluation criteria are listed in Annex 1 at the end of this form.

1.General Information(Required.)

Full Name:

Preferred Name:

Age:

Office Address:

City:

State:

ZIP Code:

Office Telephone:

Home/Cell Telephone:

Preferred Email:

2.Community and Personal Information(Required.)

Current Employer:

Employer Website:

Position and Responsibilities:

Years of experience in public sector and local level government (please state them separately):

Population of Your Locality:

Population of Metro Area:

Number of Employees:

Number of Employees You Directly Supervise:

Gross Expenditures of Your Locality:

3.Provide a brief description of your employing jurisdiction, including local government services rendered and any other factors about your jurisdiction or the metropolitan region that would be helpful in developing a match.(Required.)

4.Please describe three important issues facing your locality.(Required.)

5.Please list three of your most significant professional achievements.(Required.)

6.Please outline the objectives and issues you would like to pursue during the exchange.(Required.)

7.Please explain what you are hoping to gain from this exchange program:(Required.)

8.Please explain how this experience can improve your community and your organization:(Required.)

9.After this exchange is complete, the participants are expected to stay engaged with their host community and be involved in ICMA Global Programs in the long run. Would you be open to this? If so, please explain how you are planning to do this:(Required.)

10.Will your partner be traveling with you? (Required.)

Yes

Maybe

11.If yes or maybe, please list your partner’s name and professional or community interests.(Required.)

12.Are you requesting financial assistance from one of ICMA’s scholarship funds? Scholarship availability is based on need and funding levels.(Required.)

Yes

13.Are there personal factors that may need to be addressed, such as health, diet, and smoking preferences? A listing of key leisure interests is also welcome.(Required.)

14.If successful, I agree to submit a final report to ICMA within 60 days of completing the full exchange. The report will (briefly) explain how the exchange contributed to my professional development and what impact innovations learned abroad could have on my local government. I also agree to hold ICMA harmless from any liability that may arise from my participation in the exchange.(Required.)

I Agree

15.Please type full name and today's date to indicate agreement:(Required.)

Annex 1: Evaluation Criteria:

1.   Whether the applicant’s community is a good match with the potential host communities

2.   Applicant’s experience in public sector and local level government

3.   Whether it is a good match of issues facing the applicant's locality with the issues in the potential host communities

4.   Whether the applicant articulates a link between his/her objectives and issues s/he would like to pursue with the current issues facing his/her locality

5.   Whether the applicant clearly articulates what s/he is hoping to gain from her/his IMEP participation

6.   Whether it is a good match of personal objectives/ issues with the issues in the potential host communities

7.   Whether the applicant clearly identifies how this experience will improve his/her community and his/her employer/organization

8.   The applicant’s potential for long term engagement with his/her host community and ICMA global programs.

Scoring Guide:

3 = Exceeded the criterion 2= Fully Demonstrated criterion
1= Demonstrated Criterion 0= Did not demonstrate criterion

Current Progress,

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