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ITC/ILO Gender and non-Discrimination Programme Enrolment Form

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Saturday, 23 September 2017 - 18:12    
Home > Courses > A908112
Application Form

A908112 Gender Academy


IMPORTANT! This course costs 3,500 euros. Please make sure you have read and understood the "Fees and Fellowships" section of the website before completing this form: http://gender-campus.itcilo.org/academy You will be requested to upload relevant documentation. Please note that the deadline for requesting fellowships was August 15, 2015. After this date we regret to inform you that no requests for fellowship can be accepted. The deadline for applicants who are not requesting a fellowship is September 16, 2015.​ Please note that due to the high number of requests you may experience some difficulty with our application platform. In case of trouble or should you wish to integrate your candidature with further documentation, please contact genderacademy@itcilo.org Thank you
Fields marked with an asterisk (*) are compulsory.
PERSONAL DETAILS
First name / Given name *
Family name(s) / Surname *
Sex *
Personal address *
Phone n° *
Fax n°
E-mail *
Nationality *
Please indicate if you need a Schengen visa *
PASSPORT N. *
Place of passport issuance *
Passport expiry date * /  / 
Passport issuance date * /  / 
Place of Birth *
Country of birth *
Please indicate the city of the international airport you will depart from *
Date of birth * /  / 
JOB DETAILS
Organization/Institution/Company name (full name/acronym) *
Street address *
Emergency phone number
P.O. Box
Post Code
Country *
City *
Phone number *
Fax number
E-mail address *
Category *
Department/Division/Unit
Your current position *
Briefly describe your current work and responsibilities *
Are you applying to the course as a representative of an Employer Organization?
Which Employers' Organization are you representing? If it is not a national level Employers' Organization, please indicate additionally the national Employers' Organization to which your organization is affiliated.
Are you applying to the course as a representative of a Trade Union organization?
Which Trade Union organization are you representing and which National Centre your organization is affiliated to ?
How did you learn about this activity? *
EDUCATIONAL BACKGROUND
Give full details in chronological order. Give the exact name of the institution and title of degrees/certificates in the original language. Exclude primary/secondary school if you have a university degree or equivalent. Include courses and post-grad
Obtained in
Institution name
Main field(s) or subject(s) of study
Qualification
LANGUAGE
Language
Mother tongue
Please indicate your level of proficiency in the language of the course you are applying for
OTHER INFORMATION
Please indicate who will be sponsoring your participation in the activity *
IMPORTANT NOTE: THE DEADLINE FOR FELLOWSHIPS WAS AUGUST 15, THEREFORE YOU ARE KINDLY INVITED TO INDICATE AN ALTERNATIVE SPONSOR TO COVER FOR YOUR PARTICIPATION COSTS (euro 3,500 plus travel and visa costs). (Previous to deadline: in case you are applying for a fellowship covering tuition fees, please indicate who will be paying for subsistency and travel)
Please upload here your official sponsorletter for a total amount of euro 3,500 (plus travel and visa costs) *
Please give any further information you think might be helpful for considering your application.
Please indicate whether you have any mobility or other special requirement
Please upload here a scanned copy of your NGO statute as well as registration number (compulsory only for candidates working for an NGO)
Retype the Security Code in the box below *