ࡱ> mol[&ibjbj 4lΐΐHH4*p< D*F*F*F*F*F*F*$,/Bj*Ej**)))r D*)D*)))s莚%)0**0*)/f)v/)/)T)j*j*)*/H Q:&APPLICATION DEADLINE: Tuesday 09th February 2010 To be sent, SIGNED and STAMPED, to: Julie Teng, fax +32 2 230 21 23, e-mail:  HYPERLINK "mailto:Julie.teng@youthforum.org" \t "_blank" Julie.teng@youthforum.org Type or CAPITAL LETTERS please !!!! Surname First name FemaleoMale oDate of birth Nationality Personal Address Name of Organisation Your function and role in the organisationAddress of organisationPostal code CityCountry( PhoneCodeNumberWorkHomeMobileFaxEmailAny special dietary needs?Do you need a visa for Belgium?1 YES 1 NOPassport numberDate of issuePlace of issueDate of expiryAddress at which to deliver the invitation letter (in case needed) INCLUDEPICTURE "https://mail.google.com/a/ljp.lv/?name=d33be9805ff33117.jpg&attid=0.1&disp=vahi&view=att&th=1264d72e369f3c4f" \* MERGEFORMATINET  INCLUDEPICTURE "https://mail.google.com/a/ljp.lv/?name=d33be9805ff33117.jpg&attid=0.1&disp=vahi&view=att&th=1264d72e369f3c4f" \* MERGEFORMATINET  INCLUDEPICTURE "https://mail.google.com/a/ljp.lv/?name=d33be9805ff33117.jpg&attid=0.1&disp=vahi&view=att&th=1264d72e369f3c4f" \* MERGEFORMATINET Please indicate your English language skills (spoken and written) Spoken Written UnderstandNative languageVery goodGoodPoor 1. Why do you (and your organisation) want to take part in the training? .................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... 2. Have you previously taken part in other SRHR trainings ? ................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ 3. What are your expectations? Which specific skills do you expect to learn? ................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ 4. Please describe how you foresee you and your organisation following up on the topic after the training and what you are planning on doing in the field of SRHR? ................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ 5. The training will be followed by an action planning meeting (14th March) to develop activities for the year. Please indicate if you would be interested in taking part in the meeting and what your organisation can bring to the group? ................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ APPENDIX 1  INCLUDEPICTURE "https://mail.google.com/a/ljp.lv/?name=d33be9805ff33117.jpg&attid=0.1&disp=vahi&view=att&th=1264d72e369f3c4f" \* MERGEFORMATINET  Training on Sexual And Reproductive Health and Rights for YFJ MOs Given by the International Planned Parenthood Federation (IPPF) Call for Participants 10-13 March 2010, Brussels APPLICATION DEADLINE: Tuesday 09th February 2010 TO BE COMPLETED BY APPLICANT ________________________________________________________________________ I commit myself to actively participate in the SRHR Training on 10-13th March 2010. Signed: Date: ________________________________________________________________________ APPENDIX 2  INCLUDEPICTURE "https://mail.google.com/a/ljp.lv/?name=d33be9805ff33117.jpg&attid=0.1&disp=vahi&view=att&th=1264d72e369f3c4f" \* MERGEFORMATINET  Training on Sexual And Reproductive Health and Rights for YFJ MOs Given by the International Planned Parenthood Federation (IPPF) Call for Participants 10-13 March 2010, Brussels ________________________________________________________________________ TO BE COMPLETED BY NOMINATING ORGANISATION ________________________________________________________________________ I hereby confirm that the applicant will do her/his best to represent our organisation during the SRHR training. 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