2-Fiche de Renseignements Personnels du Consultant.docx

This is a Consultant Personal Information Form ("Fiche de Renseignements Personnels du Consultant") for Ipas Afrique Francophone, a reproductive justice organization operating across French-speaking African countries. The form serves as a standardized application and vetting document for consultants and focal points seeking to support the organization's work in expanding access to abortion services, contraception, and addressing gender-based violence within health, legal, and social systems frameworks. The document requires applicants to provide comprehensive professional credentials, including personal information, educational background, language proficiency levels, employment history over the preceding three years, and specific consulting services undertaken. The form establishes a structured evaluation process whereby applicants must justify their proposed rates by demonstrating market value alignment while excluding premiums, bonuses, commissions, hazard pay, overtime, and other supplementary compensation from rate calculations.

The form incorporates a two-tier certification mechanism requiring both consultant attestation of accuracy and employer verification that reasonable measures have been taken to validate submitted information in accordance with sound business practices. Language proficiency is assessed using a five-level scale ranging from limited professional competence to native functional competence, with separate evaluations for spoken and reading abilities. The document specifies that applicants must demonstrate understanding of Ipas Afrique Francophone's mission and local regulatory environments, with particular emphasis on candidates' ability to coordinate regional interventions, strengthen partnerships at local and national levels, and support sustainable abortion ecosystem development aligned with government agendas and local needs across French-speaking African countries.