Official Application 2017
This is the course application for:

-SUSTAINABLE TECHNOLOGIES IN ACTION: BUILDING ENDURING COMMUNITIES
-BIOCHAR AND SLOW-SAND BIOFILTRATION FOR POTABLE WATER
-BIODIGESTERS AND SUSTAINABLE COMMUNITY PRACTICES

Email address
Email address
Untitled section
Email address
Untitled section
First Name:
Last Name:
Date of birth:
MM
/
DD
/
YYYY
Gender:
Country of residence:
Email address:
Email address:
Please confirm email address:
Contact phone number:
Contact phone number no. 1
Contact phone number:
Contact phone number no. 2
University/College/Company name:
Please name your most recent employer or education institution.
Position/Course of Study:
E.g. Student, Researcher, Water Engineer, etc.
Email address
I am interested in...
Please select all of the below you are interested in. For more information about the different options see the website: https://goo.gl/bD34EH
Email address
Motivations
Please, share:
Why would you like to attend this year's course and/or the additional courses?
150 words max.
What do you think the long term benefits of the experience will be for you?:
100 words max.
Email address
References
Please supply two professional or educational references that may be contacted by email and/or phone.
Your references may be asked to provide a letter of support before a decision is made concerning your application.
Complete Name
Reference 1
Contact phone number
Reference 1
E-mail
Reference 1
Relation
Ex. Supervisor, Academic Advisor, etc.
Complete Name
Reference 2
Contact phone number
Reference 2
E-mail
Reference 2
Relation
Ex. Supervisor, Academic Advisor, etc.
Email address
Social communication
How did you hear about this course?
Please share more specifically how you found out about the course.
Ex. Name of Organization, Name of person who shared information, etc.
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