Course Application Form

Course Name: *

To select more than one course, please (left) click mouse while pressing the control (Ctrl) key.

How did you hear about the course?: *

Personal Information

Title: *

First Names: *

Family Name: *

Gender: *

Date of Birth: *

Nationality: *

Country of Residence:

Will you need a visa to attend this course: *

Organisation: *

Web address of organisation: *

Job Title: *

Mailing Address: *

City: *

Country: *

E-Mail Address: *

Phone - Home:

Phone - Mobile: *

Phone - Work: *

Relevant Information

Please answer the following questions to help us determine if this course is adapted to your needs and expectations. This will form the basis of our assessment of your application.

Please describe the work of your organisation; where it works, who it works with and what it does.: *

Please give details of your professional background and how it relates to the course you are applying for.: *

Why do you want to attend this particular course? What do you hope to get out of it?: *

How will this course help you to address some of the challenges you face in your work?: *

Dietary Requirements

Please indicate if you have any dietary requirements

Vegetarian: *

Other:

Language

All courses are conducted in English. Please describe your level of English on a scale of 1-5 where 1 is basic and 5 is fluent/mother tongue:

Writing: *

Speaking: *

Listening: *

Payment

Once we receive your application form, we will assess your application and inform you of whether you have a place on the course. Instructions will then be sent to you as to how to pay for your course along with a deadline for payment.

Please note:
* if applying for the concessionary rate you need to enclose evidence of the size and income of your organisation.
** Limited scholarships are available. If you wish to apply for a scholarship, please complete the scholarship application form in addition to this application. The scholarship application form is available on our website or email us at info@pdisl.org.

Please select as appropriate: *

Terms & Conditions

Once we receive your application form, we assess your application and inform you of whether you have a place on the course. Instructions will then be sent to you as to how to pay for your course along with a deadline for payment. If the course is cancelled, you will receive your money back in full. If you cancel your place before the advertised course deadline we will refund your fee, minus a 20% cancellation charge. There are no refunds for cancelling your place after the advertised course deadline, or for missing any sessions.

I acknowledge the Terms & Conditions

Scholarship Application

Please answer the following four questions ONLY if you are applying for a scholarship. This will form the basis of our assessment of your scholarship application.

Please describe your current and past experience(s) with peacebuilding and/or development in your community, region, or country.:

What are some factors that contribute to the conflict in your community, region, or country?:

Describe your current financial situation and why you need a scholarship.:

What is your strategy for raising funds for your contribution towards the costs of attending the training?:

Scholarships cover the cost of the course fees and in special circumstances, accommodation and / or travel. Even with a scholarship, you will be expected to contribute towards some of the costs associated with attending the training.

Peacebuilding and Development Institute in Sri Lanka

PDISL.org

Courses

Course Application Form