Partnership Broker Training - Application Form

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Please complete the application form in full.
Course Date: October 3-6, 2017 Edmonton

First Name *

Last Name *

Address *

Telephone *

Email *

Job Title *

Organization *

Professional Sector *

Non Profit

Corporate

Government

Geographical Area of Operation *

Relevant Higher Education and/ or Professional Qualifications *

Key Skills *

What are your reasons for applying for this course? *

Please state in the box below why you would like to take part in Partnership Broker Training and how you will apply the skills developed during the course to your work. (500 Words or less)

Please indicate whether you can demonstrate any (or all) of the following: *

Past or present engagement in multi-sector partnerships, as either a convenor, advisor, negotiator, partner or third-party facilitator

Preparation of detailed case-studies or impact evaluations of partnerships

Professional training and field experience in 'interest based negotiation', be that in relation to partnering, facilitation of multi-stakeholder dialogue or dispute resolution

Required

Level 1 Fee Payable CAD $2200 for ECVO Members $2400.00 For Non ECVO Members *

Please indicate who will pay the training fee and provide details for the invoice Please note – This program is eligible for a funding subsidy through the Canada-Alberta Job Grant Program. For more information, please see the Canada-Alberta Job Grant Applicant Guide. The grant covers 2/3 of eligible training costs for nonprofit and private sector participants if the program is sponsored by an employer.

Employer

Non Profit Bursary/Employer

Yourself

Invoice Contact and address *

I confirm that the information that I have given in this application is complete and true *

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