Application Form Spring Semester 2016 Please do not fill in the application form in the preview form (data loss). Save the file first. I’m applying for: CAS (Certificate of Advanced Studies ETH in Development and Cooperation) initial registration already enrolled* Or: Advanced training courses initial registration already enrolled* enrolled for MAS ETH Entwicklung und Zusammenarbeit* enrolled for Comparative and International Studies (MACIS)* CAS or MAS NADEL graduate* * You do not have to fill in points 6-8 1. Personal data Female Male Last Name: ......................................................... First Name: ......................................................... Date of birth: ....................................................... Citizenship: ......................................................... Academic title: ...................................................................................................................................... Complete academic titel as it appears on your current highest certificate (Promotion, Diploma, Master or similar). The title is needed for issuing the certificate. Current occupation: .............................................................................................................................. Occupational area: please pleasechoose choose > Employer: please choose > please choose 2. Home address Street: ...................................................................................... P.O. Box: ........................................ Postal Code: ................. City:................................................. Country: ......................................... Phone: ................................. Mobile Phone: ......................... E-Mail: ............................................ 3. Business address Organisation: ........................................................................................................................................ Street: ...................................................................................... P.O. Box: ........................................ Postal Code: ................. City:................................................. Country: ......................................... Phone: .............................................. E-Mail: .................................................................................. 4. Correspondence to: Home address Business address 5. Bills to: Me Employer 6. Language: (language of instruction is mostly German, for some courses and guest lectures it is English) written German fluent/advanced intermediate elementary spoken fluent/advanced intermediate elementary written English fluent/advanced intermediate elementary spoken fluent/advanced intermediate elementary 7. Studies / professional training from - to Location and type of education Specialisation / Certificate ........................... ................................................................. ..................................................... ........................... ................................................................. ..................................................... ........................... ................................................................. ..................................................... 8. Professional activities in international cooperation from - to Organisation Function ........................... ................................................................. ..................................................... ........................... ................................................................. ..................................................... ........................... ................................................................. ..................................................... 9. Courses to fill in by NADEL I’d like to register for the following courses: WL A* Planung und Monitoring von Projekten 22.-26.02.2016 EXCLUSIVELY for MAS-Students (compulsory course) 5 days WL A* Finanzmanagement und Wirtschaftlichkeit von Entwicklungsprojekten 29.02.-04.03.2016 5 days WL A* Capacity Development in der IZA 21.-24.03.+18.04.2016 5 days WL A* WL A* M4P- Making Markets Work for the Poor 04.-08.04.2016 in English 5 days Evaluation von Projekten 12.-15.04.2016 4 days WL A* Kultur und Entwicklung: Unterschiedliche Entwicklungsvorstellungen im Dialog WL A* Friedensförderung in der IZA 19.-22.04.2016 4 days 26.-29.04.2016 4 days WL A* WL A* Aktuelle strategische Debatten der IZA 02.-04.05.2016 EXCLUSIVELY for CAS-Students (compulsory course) and advanced training course participants 3 days Mediation Process Design: Supporting Dialog and Negotiation WL A* WL A* 5 days Health Matters – Linking the Development Agenda with a Health Perspective in English 17.-20.05.2016 Urbanisation Challenges in the 21st Century – The Role of Development & Cooperation in English WL A* Climate Change and Development WL A* 09.-13.05.2016 in English 4 days 24.-27.05.2016 4 days in English 30.05.-03.06.2016 5 days Moderation 06.-10.06.2016 EXCLUSIVELY for MAS-Students 5 days *A: to fill in by NADEL Enclosures (indispensable): • • Curriculum vitae Confirmation of your professional activities in IC by your employer(s) (at least 24 months; in exceptional cases, work experience of 6 months in addition to your employers recommendation might be accepted.) • • Motivation letter, short justification for choosing the CAS (only for applicants CAS) Copy of your Academic Degree (only for applicants CAS) I hereby give my consent that my contact details are made available to other NADEL-Alumni. I am interested in the NADEL-Newsletter (sent via e-mail). Location: ............................................................. Date: ................................................................... By sending this application form you are accepting the cancellation terms. Send Application Form
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