Barcelona, 26-30 March 2012: Core Training and Thematic Workshop Application Form

Core Training on International Humanitarian Law and Policy: 26-28 March 2012

Thematic Workshop on the Protection of Civilians in Internal Conflicts:
29-30 March 2012 (completion of a Core Training is required prior to attending a Thematic Workshop)

Please indicate to which training(s) you wish to apply:

Core Training on International Humanitarian Law and Policy: 26-28 March 2012

Thematic Workshop on the Protection of Civilians in Internal Conflicts: 29-30 March 2012 (completion of a Core Training is required)

How did you learn about your selected training(s)?

Individual prefix

First name

Middle name

Last name

Individual suffix

Email address (primary)

Email address (other)

Phone (Primary)

Phone (Other)

Current employer

Job title

UN professional rank (if applicable)

Country/ territory primarily based in

Country(ies)/ territory(ies) of professional experience

Total years of professional experience

Years of professional experience related to humanitarian action

Briefly describe your professional experience as related to international humanitarian law and policy

Language(s) in which you have professional fluency

Any other languages in which you have professional fluency

Please upload your CV

Citizenship(s)

Gender

Female

Male

Year of birth

I understand that I am simultaneously applying for participation in a training event organized by PHAP and for membership in PHAP. I have reviewed the Membership Benefits and Dues and I agree with the Bylaws of PHAP (see official Bylaws in French or the unofficial English translation).

Yes

In the event that your application is accepted, we will ask you to re-confirm your interest in attending the training, and then we will send you two invoices: one for your Course Fee and another for your Membership Dues (for a one-year membership, renewable annually according to your preference).

Please indicate the billing address for your Course Fee invoice:

Name of billing contact (if not yourself)

Orgnization to be billed (if applicable)

Billing Address: Street Name and Number

City

State/ Province/ Region

Zip/ Postal Code

Country

Billing Contact Phone (if different from yours above)

Billing Contact Email Address (if different from yours above)

In case you would like us to use a different billing address for your Membership Dues, please fill it in below (otherwise, leave blank):