Personal Information
Title:
Mr
Mrs
Ms
Dr
Family name:
Other name(s)
Date of birth: Day
Month
Year
Job title / occupation:
Organisation name:
Postal address:
Country:
Telephone (full STD code)
Fax (full STD code)
E-mail address:
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.
Sponsoring Organisation
Contact person:
Postal address:
Country:
Telephone
Fax
E-mail address:
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
Preferred
elective tick one only
Alternative
elective tick one only
(A) Wealth
creation for the rural poor through competitive agricultural
markets
(B) Market
development in fragile and conflict-affected situations
(C) Evolving
roles of the state in enabling market development
Week
Two two electives.(D) Impact
assessment in market development projects
(E) The
facilitation task in market development
(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
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.
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 3831616.02/05/12 . 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 Ltdglobal@springfieldcentre.com