Girl-Centered Design Training Application
Mercy Corps is an international organization working through partners in Bangladesh since 2017, in both Cox's Bazar as well as flood-prone areas in other parts of the country. As part of an effort to boost awareness of and support for the Compact for Young People in Humanitarian Action, Mercy Corps is leveraging its relationship with GirlSPARKS to facilitate a Girl-Centered Design training in Cox's Bazar from June 17-19, 2019. Participation in this workshop is free, but space is limited to 25 participants, so this registration form will allow for the training team to ensure maximum participation from humanitarian and development organizations operating in Cox's Bazar and elsewhere in Bangladesh.
Filling out this registration form is the first step to participation in the training, and does not guarantee that you will be selected among the final list of participants. Confirmation of selection will occur on a rolling basis between now and June 12th. This course will be conducted in English, and thus participants need to be confident in reading, writing, understanding and speaking English.
The Girl-Centered Design training in Cox's Bazar is convened by Mercy Corps and the Cox's Bazar Youth Working Group, and training costs have been waived with generous support from UNFPA.
What is your name?
What is your gender?
Prefer not to say
In which age group are you?
Prefer not to say
What is your phone number?
What is your job title?
Location of work (where are you based?)
For which type of institution do you work?
Bangladeshi non-governmental organization
Donor or bilateral development agency
Government of Bangladesh
International non-governmental organization
What is the name of the institution/agency/organization?
What is your current role within the institution?
Director / Executive
Logistics, administration, supply
Monitoring, evaluation, and analysis
Partnerships and / or new initiatives
Programming, implementation, and customer service
Writing reports and / or proposals
For how many years have you worked for this type of institution (whether with the same institution or another in the same sector)?
In general, in which specific technical areas does your institution usually work?
Economic recovery and / or development
Shelter and/or NFIs
Water, sanitation and/or hygiene (WaSH)
Does your work currently involve implementing programming with a focus on girls?
If yes, please provide a short description of the programme focusing on girls and its aims (max 150 words).
If no, are you planning to implement programming with a focus on girls in the future? If so, please provide a short description of the proposed programme.
Have you ever participated in training on human-centered design?
Has your supervisor approved your application for this training?
Please share your supervisor's email address with us.
Have you ever participated in the Youth Working Group? If so, approximately how many meetings?
No, 0 meetings
Why are you applying to attend this Girl-Centered Design training? (maximum 150 words)
How are you hoping to use a Girl-Centered Design approach following the training? (max 150 words)
After the training, are you willing to participate in a follow up call with the GirlSPARKS team to discuss translating learning into practice?
If you have any special requirements (related to disability, dietary restrictions) to participant in this training, please describe here so we can try and accommodate.
Thank you for filling out this registration form. The results of the selection process and final confirmation of participants for the training will be confirmed by email before June 12th.
In the event that you have a question or need clarification about the training and/or this registration form, please do not hesitate to contact
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Mercy Corps.