Application form

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Application form Short Certificate Courses

Please indicate which course you are interested in:

Please indicate how you would like to take part in the course:

	AUDITOR - US$ 165 (You will have access to the course materials, course discussions yet will not be able to participate in the course discussions, submit assignments for review by the instructor and will not receive a Certificate)
	PARTICIPANT - US$ 435 (You will receive a Certificate of Participation upon successful completion of the course)

Personal information

Last name(s)*

First name(s)*

Name of organisation/university

Position within organisation/university

Full address of your organisation/university:

Street/PO Box:

City:

Province and/or Postal/Zip Code:

Country:*

E-mail address:

Website of organisation (if applicable):

Permanent address

Street/PO Box:*

City:*

Province and/or Postal/Zip Code:

Country:*

E-mail:*

Telephone (incl. country code):

Fax:

Current citizenship:*

Motivation

1. Briefly describe your work and your position and responsibilities within your organisation:*

2. Explain why you want to acquire further skills in this area:

3. Explain how you think you will apply the acquired knowledge and skills from this course:*

4. Describe what experience, qualities and skills you will contribute to this course:*

Curriculum vitae

Please upload your curriculum vitae (maximum three pages): listing your education (degrees, etc.); your work experience (organisations you work(ed) for, projects you were involved in); and, if applicable, a list of publications.

Photo

Please upload a digital photo (passport photo size). This will be posted on the course website.

Date of birth

(Collected for statistical purposes only)

(date/month/year)

Gender

female

male


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