APPENDIX OF APPLICATION FORM
for
Non-handicapping Environment Workshop for National Trainers and Policy Makers
**This appendix is available at http//www.apcdproject.org/training04_nhe_appendix.html**
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| HOME ADDRESS: TELEPHONE NUMBER (Country Code/Area Code/Number): FAX NUMBER (Country Code/Area Code/Number): EMAIL ADDRESS: |
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| NAME OF THE ORGANIZATION: ADDRESS: TELEPHONE NUMBER (Country Code/Area Code/Number): FAX NUMBER (Country Code/Area Code/Number): EMAIL ADDRESS: |
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| DIETARY REQUIREMENT (IF ANY) |
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| I hereby certify that all the provided information is correct, accurate and complete to the best of my knowledge. In the event that I suffer injury, illness or death during the course of my participation in the program/course, I shall hold the Royal Thai Government, the Government of Japan, Japan International Cooperation Agency (JICA) and/or the Asia-Pacific Development Center on Disability (APCD) harmless and without any liability whatsoever for compensation towards myself, my legal representatives and/or my heirs. Should I cause any person loss of property, injury, illness or death during the course of my participation in the program/course, I shall be fully responsible and liable for the said person without reference whatsoever to the Royal Thai Government, the Government of Japan, JICA and/or APCD. SIGNATURE OF NOMINEE............................... PRINTED NAME OF NOMINEE ( ) DATE: |
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APPLICATION TASK
FOR
FORMER TRAINING PARTCIPANTS
*Please prepare the following as a part of your application document.
- REPORT TOPICS
Please prepare your report on the following topics:
- Your relevant ACHIEVEMENTS after participating in a Regional Training Course for Trainers on the Promotion of a Non-handicapping Environment for Persons with Disabilities
- Your relevant LESSONS LEARNED after participating in a Regional Training Course for Trainers on the Promotion of a Non-handicapping Environment for Persons with Disabilities
- Any ISSUES you are facing now concerning non-handicapping environment.
- Possible KNOWLEDGE/SKILLS which may help solve the above issues and you would really like to learn/equip.
- REPORT FORMATS
Please flexibly combine the following for you to present your report effectively.
- Document Report: An executive summary should be attached in one (1) page of A4 paper, if your report is more than five (5) pages of A4 paper.
- Audio-Visual Report: Photos, Picture, VTR etc.
The choice of the above formats is up to you, each applicant. It is not necessary for you to use all the above formats.
- REPORT SUBMISSION
Please submit your report to APCD by December 26, 2003 by e-mail, fax, or/and post at the following address. It would be most appreciated if your report could be sent as an attached file of the email.
Human Resource Development (HRD) Chief
Asia- Pacific Development Center on Disability
60th Anniversary Building, 255 Rajvithi Road, Rajthevi,
Bangkok 10400, THAILAND
Tel (662) 247 2619 Fax (662) 247 2375
E-mail: training@apcdproject.org
| Each applicant's report will be fully considered in the Workshop participant selection . |
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QUESTIONNAIRE
FOR
POLICY MAKER APPLICANTS
* Please submit your answers to the following questions as a part of the "Appendix of Application Form".
Q1. Please provide some examples of the national policy/programmers concerning non-handicapping environment in your country.
Q2. Please share your recent work concerning the promotion of non-handicapping environment in your country.
