Application form for UNESCO-IHE Regular Short Courses and Online Courses

How does it work?

  1. Fill out the form below (an asterisk ( * ) indicates information must be supplied for the form to be accepted), please do not use all caps
  2. Submit the information by pressing the submit button
  3. UNESCO-IHE will now receive your information digitally (please do not send a duplicate application by regular mail)
  4. You will receive an automated e-mail message confirming your application and containing all information you submitted for your personal administration
  5. You will be notified by email within 10 working days whether or not your application has been accepted

If you have any problems or need assistance completing this form, please contact us by sending an email to: info@unesco-ihe.org

Fields marked with an asterisk * are required.


Course:
Course name Groundwater Data Collection and Interpretation
Date: 02 Apr 2013 to 19 Apr 2013
Regular short course


Your information:
Family name*
Full name passport*
First name*
Gender*  Male  Female
Date of birth*
Place of birth*
Country of birth*
Nationality*


Your address:
Address type*
Street*
Number*
Postbox number*
Extra info
Postal code*
Town*
Country*
Phone
Mobile
Email*


Education:
University name*
Start date*
End date*
Degree*
Main study*
Thesis title*
Was English the language of instruction in secondary school / university?*  Yes  No


English proficiency:
Reading*  Fair  Good  Excellent
Writing*  Fair  Good  Excellent
Speaking*  Fair  Good  Excellent
Understanding*  Fair  Good  Excellent


Employer:
Job title*
Start date*
Employer/company*
Employer category*
Address type:
Street
Number
Postbox number
Extra info
Postal code
Town*
Country*
Phone
Email
Description of your work, indicating your personal responsibilities (max. 500 characters)*


Your application:
Why do you wish to follow this course? (max. 500 characters)*
Curriculum vitae*
How do you intend to pay for the course?*
Have you received confirmation of financial support from your sponsor? (if applicable)  Yes  No
Have you applied earlier for a study programme at UNESCO-IHE?  Yes  No
I agree to the terms and conditions*
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