Institutions who would like to propose candidates for training at CIAT should make the following request:

Section I.
To be completed by the institution requesting training for the candidate

Name of institution

Name of candidate

Reasons for requesting training for the candidate
It is mandatory to complete this section

Post-training plans for the candidate It is mandatory to complete this section

Training requested -SELECT- Short course Individualized training Master’s thesis Doctoral thesis
(Individual Training: Open to professionals with current employment or for graduate students).
(MSc PhD Thesis: Only to conduct thesis research).

Training area/discipline

Desired starting date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2006 2007 2008 2009 2010

Aprox. duration

Section II. To be completed by the candidate

Personal data

Name

Date of birth Marital status Single Married

Current address

City Country

E-mail Telephone

Current employment

Institution

Address

City Country

E-mail Telephone

Current position

Years working in ** SELECT ** Research Development Extension Educaction Administration

Name of supervisor

E-mail of supervisor

Educaction

Undergraduate

Institution

Degree

Date

Graduate

Institution

Degree

Date

Languages

I understand that this training establishes a professional commitment for me to work for my institution, for a considerable length of time.