Personal
Information |
| Title: |
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| Family
name: |
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| Other
name(s) |
|
| Date
of birth: |
Day
|
Month
|
Year
|
| Job
title / occupation: |
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| Organisation
name: |
|
| Postal
address: |
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| Country: |
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Telephone
(full STD code) |
|
Fax
(full STD code) |
|
| 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 |
| Contact
person: |
|
| Postal
address: |
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| Country: |
|
Telephone
(full STD code) |
|
Fax
(full STD code) |
|
| 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.
|
| |
Week
One
(Electives A-C)
Please tick your preferred elective, and tick one alternative elective. |
|
Preferred
elective
tick one only
|
Alternative
elective
tick one only
|
| (A) Wealth
creation for the rural poor through competitive
agricultural markets |
|
|
| (B) Market
research: gathering and using market information
effectively |
|
|
| (C) Evolving
roles of the state in enabling market development |
|
|
|
Week
Two
(Electives D-F)
Please tick two electives. |
(D) Impact
assessment in market development projects |
|
(E) Market
development in conflict- and emergency-afflicted
situations
|
|
| (F) Managing
market development projects |
|
| |
Administration
and logistics |
Accommodation
|
It
is your responsibility to make your own accommodation
reservation. A list of hotels near the training
venue will be sent to you on receipt of this
application form. |
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 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.
|
Date |
Day
|
Month
|
Year
|
Applicant's
Name/ Signature |
|
|
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 27/05/10.
In order to be considered for the training programme,
fee payment should accompany applications. Details
of how to pay will be sent upon receipt of this application
form.
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 |
|
