Caribbean Institute in Gender & Development Application Form
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Personal Information
First Name *
Last Name *
Date of Birth *
(dd/mm/yyyy)
Nationality *
Email Address *
Home Address *
Mobile phone number *
please include area code
Home phone number *
please include area code
Fax Number
please include area code
Professional Information
Employer *
If you are self-employed please describe the nature of the business
Employer's Address *
Past Work Experience *
Name of Organisation or NGO with which you are involved *
Nature of Your Involvement *
Check all that apply
Required
Education
Highest Level of Education Completed *
Field of study of your highest level of education completed *
Are you currently enrolled in an educational programme? Give details. *
Personal Statement
Please explain briefly your reasons for wanting to participate in this programme *
Programme Option
The programme is offered under two options. All participants must complete the four week intensive period of participatory learning (in residence) at the Cave Hill Campus and project. Under option 1, participants will complete the requirements of the course at the end of the four week period. Under option 2, participants will be required to return to present their research projects after a six week period of field work/research. Option 2 costs may include additional air fare and accommodation.
Desired Programme Option *
Project
The project provides an opportunity for participants to investigate issues and concerns that affect them and their communities/societies. Projects should reflect a sensitivity to and awareness of issues of Gender and Development. The programme will provide assistance, instruction and guidance on how to produce your project. The questions below are to help you to think of the project and to help us plan for this.
What area(s) are you interested in exploring? *
What is your project likely to be? *
How will your project help your organization or community? *
How will your project help women or help men? *
Funding Information
How will your participation in the programme be funded? *
A limited number of highly competitive, partial scholarships are available for exceptional applicants from CARICOM countries.  If you need a scholarship in order to attend the programme please indicate this below.  If you, your employer or your university is covering the cost of your participation in the programme please select "self-financed".
 Health & Emergency Contact Information
Please state whether you have any health problems, mobility or other challenges of which the programme organizers should be aware. Please describe: *
Emergency Contact *
In case of emergency whom should we notify? Please give the contact name, mobile, work/home numbers including area code and state your relationship to the emergency contact.
Is there anything else you would like to tell us?
We want to ensure that you have a happy, healthy and rewarding experience.  Please share with us any additional information necessary to make this possible.
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