BETTER TRAINING FOR SAFER FOOD Training Course on Contingency Planning and Animal Disease Control TRAINING APPLICATION FORM Please carefully fill-in this application form before sending it to your National Contact Point (within your competent authority). This Training Application Form has to be submitted together with: 1) the contingency plan for FMD and 2) the operational manual and SOPs (Standard operational procedures) which describe human killing of cattle in your country. Contingency plan, operational manual and SOPs must be uploaded on our FTP platform For standard users: Please copy/paste the link below in your FILE EXPLORER (not in the internet explorer) ftp://ftpsher-RIG:[email protected] For Filezilla users, please use the following details - Address ftp.ftpsher.be - ID ftpsher-RIG - Password : sb391J32630v In case of any problems, please send an email to [email protected] or call 0032 81 32 79 97 During some training exercises, you will have to work on computers, which will be provided by the organizer. However, for your own comfort and convenience, feel free to bring your own laptop. Please note that the designated National Contact Points are responsible for the participant selection. Selected participants will receive a confirmation letter containing all relevant information on the training session they will attend. Training Dates Location 1 12-16 May 2014 Riga, LV 2 16-20 June 2014 Riga, LV 3 7-11 July 2014 Cardiff, UK 4 8-12 September 2014 Riga, LV 5 6-10 October 2014 Cardiff, UK 6 3-7 November 2014 Padua, IT 7 1-5 December 2014 Padua, IT 8 26-30 January 2015 Padua, IT 9 23-27 March 2015 Riga, LV 10 4-8 May 2015 Padua, IT 11 8-12 June 2015 Cardiff, UK 12 6-10 July 2015 Riga, LV 13 7-11 September 2015 Cardiff, UK 14 5-9 October 2015 Padua, IT Field visits Pig farm, CSF addressed Pig farm, CSF addressed Cattle farm, FMD addressed Pig farm, CSF addressed Cattle farm, FMD addressed Poultry farm, AI addressed Poultry farm, AI addressed Poultry farm, AI addressed Pig farm, CSF addressed Poultry farm, AI addressed Cattle farm, FMD addressed Pig farm, CSF addressed Cattle farm, FMD addressed Poultry farm, AI addressed Contact details: Full Family Name (exactly as indicated on your passport) 1: Full First Name (exactly as indicated on your passport): Nationality: 1 & 3 As they will be indicated on your flight ticket and on the name tag you will bear during the seminar SELECTED Sex: Female Male Phone (including international country calling code): Mobile (including international country calling code): Email: Language skills: Excellent English Dietary requirements: Normal Diet Vegetarian Gluten-free Halal Kasher Other, specify: Educational background: Doctor in veterinary sciences Doctor in Sciences (microbiology / biology / chemistry) Other, specify: Present position: For which institution are you working? 2 How long have you been working for this institution? What is your current position within your institution? How long have you held this position? Intermediate Basic None If you are working in an Institution, are you working at the Central or Regional/Local level in your country? Specific region/district: Are you responsible for developing animal health control strategy and policies? No Yes, Please indicate in which areas you develop animal health control strategies and policies: Are there particular subjects you would like to be addressed during the training? No Yes, specify: Have you already participated in other “Better Training for Safer Food” training sessions? No Yes, specify: Biosecurity during farm visit: Your size: S M L XL Your shoe size: Travel preferences: Flight Train Car Please specify the nearest INTERNATIONAL AIRPORT or RAILWAY STATION for departure: When registering to the training session, you commit yourself to inform colleagues about the information received during the training Your application will be subject to approval by the EU Directorate-General for Health and Consumers. Non-attendance or cancellations will be reported to the Directorate.