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Application Form - for TUTORS (English Version - Online Training ...

Application Form - for TUTORS (English Version - Online Training ...

Application Form - for TUTORS (English Version - Online Training ...

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..........................................................................................................................................................................................................................................................................................................................................................Would you require any financial support in order to access course materials i.e internet costs, postage, fax etc...?(Please be specific)?..........................................................................................................................................................................................................................................................................................................................................................Will you be absent during the course <strong>for</strong> any periods of times, due to work, holiday, exams or other commitments?..........................................................................................................................................................................................................................................................................................................................................................Is there a possibility that your government or local authorities, will try to prevent you undertaking the course orparticipate in any international trainings or meetings that may follow the course?.......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................Is there a possibility that you or your organisation may face the threat of violence or intimidation as a result ofundertaking this course or participation in any international meetings that may follow the course?..........................................................................................................................................................................................................................................................................................................................................................6. DECLARATION AND ENDORSEMENTI declare that all the above in<strong>for</strong>mation is true:Full Name: ………………......................................................................................................................................Signature: .............................................................................................................................................................Date: .....................................................................................................................................................................A senior representative of your organisation (Director, Representative of Council/Board, etc) mustendorse your application by signing below.Endorsement of the group/organisation:Full Name: ......................................................................,.....................................................................................Position/Job title ..................................................................................................................................................Signature: ............................................................................................................................................................Date: ....................................................................................................................................................................IMPORTANT: PLEASE READ THE NOTES ON THE FOLLOWING PAGES CAREFULLYBEFORE COMPLETING THE APPLICATION FORMIMPORTANT NOTES

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