Personal
Information
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| Title: |
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| Family name: |
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| Other
name(s) |
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| Date
of birth: |
Day
|
Month
|
Year
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| Job
title / occupation: |
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| Organisation
name: |
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| Postal address: |
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| Country: |
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Telephone
(full STD code) |
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Fax
(full STD code) |
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| E-mail address: |
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Please tell
us a little more about yourself and the organisation
you work for, for example, your responsibilities,
the type of work you do, your target group, what
your organisation does, etc.
(We will contact successful applicants for additional information closer
to the programme start date.)
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Sponsoring
Organisation
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| Contact
person: |
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| Postal
address: |
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| Country: |
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Telephone
(full STD code) |
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Fax
(full STD code) |
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| E-mail
address: |
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Elective
Choices
|
In the afternoon teaching sessions
participants are offered a choice of topics or 'electives'.
In week 1 participants attend one out of a
possible three electives per week. In week 2 participants
attend two out of a possible three electives.
Places on electives
are subject to availability and will be allocated
on a "first-come-first-served" basis. If your preferred
elective is not available, you will be placed on
your alternative choice.
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| |
Week
One
(Electives A-C)
Please tick your preferred elective, and tick one alternative elective. |
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Preferred
elective
tick one only
|
Alternative
elective
tick one only
|
| (A) Wealth
creation for the rural poor through competitive agricultural
markets |
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| (B) Market
development in fragile and conflict-affected situations |
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| (C) Evolving
roles of the state in enabling market development |
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Week
Two
(Electives D-F)
Please tick two electives. |
(D) Impact
assessment in market development projects |
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(E) The
facilitation task in market development
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| (F) Managing
market development projects |
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Administration
and logistics
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Accommodation
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It
is your responsibility to make your own accommodation
reservation. A list of hotels near the training venue
will be sent to you with notification of your acceptance
onto the training programme. |
Insurance
and liability
|
I
accept that in attending the Training Programme
the Springfield Centre cannot be liable for any
losses or injury that I sustain or damage that
I cause during my visit, and I confirm that I have
made arrangements
for
appropriate insurances for the duration of my visit
to the UK, particularly in respect of personal
health, accident and possessions.
I
understand that I will be personally responsible
for all charges and expenses incurred which are
not funded by a sponsoring organisation. All
charges are due at the time of registration unless
I have made alternative arrangements.
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Date
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Day
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Month
|
Year
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Applicant's
Name/ Signature
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To submit your application
for the 'Making Markets Work' training programme
either complete this form and click 'Submit' or print
the form and fax it to + 44 191 3831616.
Closing date for
applications is 02/05/12.
In order to be considered for the training programme,
fee payment should accompany applications. Details
of how to pay will be sent upon acceptance onto the
training programme.
The Springfield Centre
for Business in Development Ltd
Suite One, 4 Saddler Street
Durham, DH1 3NP
United Kingdom
T: +44 191 3831212
F: +44 191 3831616
Email: global@springfieldcentre.com
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