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- 2004
- Training of Initiators for SHG
- Non-handicapping Environment workshop for National Trainers and Policy Makers
- Workshop on Human Rights of Marginalizes Disability Groups
- Community-based Rehabilitation
- Accessible Web-based Information Networking
- South-to-South Cooperation For Decades of PWDs
- 2007
- 2006
- 2005
- 2003
APPENDIX OF APPLICATION FORM
for
Training of Initiators for Self-help Groups of
Persons with Disabilities towards
Rights-based and Sustainable Community Development
**This appendix is available at http//www.apcdproject.org/training04/shg04/training04_shg_appendix.html**
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| PASSPORT NUMBER: PASSPORT EXPIRE DATE (Day/Month/Year): |
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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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QUESTIONNAIRE
* Please submit your answers to the following questions as a part of the "Appendix of Application Form".
Q1. Concerning self-help groups (SHG) of persons with disabilities (PWD) which you know or/and are involved in, please explain their strength and weakness.
Q2. According to your own experiences and your point of view, what are the criteria of "EFFECTIVE" SHG of PWD? (Please raise 2-5 points to be an "EFFECTIVE" self-help group and briefly explain why).
Q.3 What skills do you think necessary to initiate/strengthen SHG of PWD? (Please state 2-3 most necessary skills and briefly explain why).
Q.4 Does your organization have a plan to help initiate/strengthen SHG of PWD at the grass-root level? If so, please share the plan with regards to 1) objectives, 2) brief process, 3) necessary resources, and 4) expected outcomes.
