Call for Individuals - participation in ict@innovation's advanced training programme on African FOSS Business models

Webform Submitted by fredericky on 9. April 2009 - 9:49.

This is the online Application Form for Individuals responding to the call for participation in ict@innovation's advanced training programme on African FOSS Business models in West Africa. The call text is available at www.ict-innovation.fossfa.net/call-nigeria.

Training of Trainers on “African FOSS Business Models ”

Application Form for Individuals

for the 1st West African Regional Training of Trainers

in Nigeria from October 24th to November 4th, 2011

Application Deadline is September 18, 2011

Overview

· Personal Information

· Your Professional Background

· Your Future Multiplier Role

· Additional information (optional)

· Documents to submit

Personal Information

Title: *

Family Name: *

Please write your name as it appears on your passport.

Given Name: *

Please write your name as it appears on your passport.

Gender: *

Date of Birth:

Country of Residence: *

Please note that only residents from West Africa are eligible to apply.

Nationality:

Postal Address :

Email Address: *

Landline Number (Inc. country code):

Please do not forget to include the country code.

Mobile Number (Inc. country code): *

Please do not forget to include the country code.

Your Professional Background

Name and Address of Present Employer/ Affiliated Organisation: *

Main Fields of Activity of Present Employer/ Affiliated Organisation: *

Type of Employer

Please tick where applicable. Your company/ institution/ organisation operates as: *

an ICT and Business Association

a University/ Higher Education Institution with IT/ Business Training Programmes

an ICT Training Institution (Public or Private)

a FOSS Association or Group

an IT SME with Substantial Multiplier Potential

other

If you ticked "other", please describe the type of your organisation here:

Website of Employer/ Affiliated Organisation:

Current Position (and previous, if applicable): *

Primary Responsibilities in Your Current Position: *

Number of Years with Current Employer: *

Professional Experience: *

Your Future Multiplier Role

Ways and Means of Implementing Two Trainings: *

Ways and Means of Integrating the Training into Existing Training Programmes: *

Ideas for a Business Plan: *

Trainer Experience

What is your experience as a trainer in ICT and/or business related trainings?

Training 1: *

Training 2:

Language Skills

Please note that this training course will be offered in English. Therefore you have to be fluent in English. Starting next year, this course will also be offered in French.

Please list the languages in which you are proficient: *

Are you a member of FOSSFA?: *

yes

If you are a member of another FOSS network/ association, of which one?:

Will you be able to bear the travel costs to Nigeria?: *

Additional Information (optional):

Documents to submit

Your CV:

Please attach your CV.

Letter of Institutional Support:

If possible, please upload a letter from your institution which states how it will support you in giving trainings on "African FOSS Business Models".

Thank you for completing this Application Form!

Please complete your application by pressing "submit" (below). After pressing the button "submit", an email will be sent automatically to the email address you provided.
Application deadline is September 18, 2011!
Please note again that participants or their institutions have to cover their travel costs to the training venue and make a contribution of 50 US-Dollars to the training costs to GIZ/FOSSFA. Travel subsidies may be granted upon request and justification.

Declaration

By submitting this form you are declaring that the information submitted by you is correct to the best of your knowledge.
It is important to us that your privacy is respected when we process personal data. By submitting this form you agree to the processing of these data only for purposes in connection with your application for this programme. These personal data will be stored in our internal systems only and will not be passed on to third parties.