Nomination Form - Team Building Ii

Nomination Form for Training Course / Workshop Course Title: Training Date: (1)

Team Building (Level II) 21 – 23 March, 2007

Personal Details of Applicant Full Name (write only in Block letter): ………………………………………………………

……….. Sex:

Male

Date of Birth (DD/MM/YY):

………………………………………………………………..

Designation:

………………………………………………………………..

Name of organization:

Female

………………………………………………………

……….. Duty Station of Applicant: Contact Telephone No.:

……………………………………………………………….. …………………………………………………

…..................... Contact E-mail:

……………………………………………………

…................. (2)

Education

Degree, Diploma etc. ……….. (3)

………………………………………………………

Please describe your job functions which are relevant to this training. …………………………………………………………………………………………………………… …………………………………………………………………………………………………………… ……………………………………………………………………………………………………………

(4)

Please write 3 personal learning objectives for this course. …………………………………………………………………………………………………………… …………………………………………………………………………………………………………… ……………………………………………………………………………………………………………

(5) No

Are you able to commit to the full time of course?

Yes

Nominee signature Name ---------------------

Nomination Form – Team Building II

(To be filled & signed by the manager) (6) I allow the applicant to participate full time throughout the whole workshops. Yes

No

Manager’s signature Name ------------------------Nominations closing Date: Participant confirmation Date:

9 March 2007 14 March 2007

Nomination Form – Team Building II