IHP - Contracts and Special Programs 2005

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Participant Application
Contracts and Special Programs	Arabic, English, French, Spanish*	N/A	N/A
* The usual language of instruction of IHP workshops is English. Please note that the following workshops are available in other languages for a minimum of eight (8) participants with three months notice: Islam and Family Planning – Arabic Implementing HIV/AIDS Programs – French or Arabic Advanced Training for Trainers – French or Spanish Developing Adolescent Sexual & Reproductive Health Programs - Spanish
To plan effective training programs, information about the expectations, work experience and professional education of participants is useful. Please submit this form and an IHP staff member will process your application as soon as possible.

All fields marked with a * are required:

Workshop Title*

First Name*

Last Name*

Sex*

Female Male

Nationality*

Languages*

Present Position*

For How Long

Name of Organization*

Mailing Address 1*

Mailing Address 2

City

State or Province

Postal Code

Country

Telephone*

Home Telephone

Fax

Email*

Education

Work Experience

Objectives of this workshop

Participants make presentations about their country, and their work, and develop a plan that can be implemented countries. We recommend that participants bring relevant documents and materials to be shared with the group.

Sponsoring Agency

Participants require sponsorship for all expenses related to the course. Once sponsorship has been obtained, please ask your sponsor to send us a letter of financial certification. If you have difficulties in obtaining a sponsor please visit our list of potential sponsoring agencies.

Sponsoring Agency*

Yes

No, I do not presently have a sponsor.

Name of Sponsoring Agency

Sponsor Address 1

Sponsor Address 2

Sponsor City

Sponsor State or Provence

Sponsor Postal Code

Sponsor Nation

Sponsor Contact

Sponsor Telephone