
International Training
Centre of the International Labour Organisation
Market Oriented Small Business Development
Services (MOSBDS DIPLOMA)
"How to be a better business adviser - the
internet version"
APPLICATION FORM
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| Date:
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Saturday, November 21, 2009 |
| How did you learn about this course? |
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1.Personal history
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| Family name: |
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Name:
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(Please use name as indicated in your national identity
card)
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| Sex: |
Male
Female
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| Date of birth: |
(
mm/dd/yyyy) |
| Place of birth: |
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| Personal address:
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| Country: |
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| Region: |
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| Phone n°: |
(please, indicate national and city codes numbers)
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| Fax n°: |
(please, indicate national and city codes numbers)
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| E-mail:
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(Email to be used during the course) (Note: if you want to add a
second email address, you must separate the first from the second one with a
semi-colon in this way: myaddress1@somewhere1.com;myaddress2@somewhere2.com)
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2. Educational background
Give full details in chronological order. Give the exact name of the
institution and title of degrees/certificates in the original language. Exclude
Primary/secondary School if you have a university degree or equivalent. Include
courses and post-graduate studies in your professional or related field. |
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Institution (name, place)
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Certificates,
degrees obtained
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Main field(s) or subject(s) of
study
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3. Language knowledge
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| Please enter appropriate
number from code below to indicate your level of knowledge in English. |
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1
Limited conversation, reading, routine correspondence.
2 Engage freely in discussions read and write more
difficult material.
3 Speak, read and write (nearly) as in
mother tongue.
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| Speak:
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Read:
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Write:
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4. Present professional situation
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Name of institution: |
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| Address: |
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| Phone n°: |
(Please,
indicate national and city codes numbers)
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| Fax n°: |
(Please,
indicate national and city codes numbers)
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| E-mail:
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| Supervisor name: |
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| Phone n°: |
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| Fax n°: |
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| E-mail:
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| Type of organization:
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Are you actively involved in a workers' or employers' organization as part-time
or full-time officer or delegate? Please indicate: |
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Workers'
Employers' |
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| Please briefly describe the activities of your
institution. What is your position, and what are the main responsibilities
involved in your present work:
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| Do you provide business development
services to small or micro enterprises?
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Yes
No |
| Which types of services? |
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Your expectations from this course:
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5. Past professional background:
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Full name and address of
employer/institution
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Type of organization (e.g.:
government, private or public sector, etc.)
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Your position
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6. Pre- test questionnaire
This pre-test questionnaire will help you to define the optional modules you
wish to study.
The objectives of this questionnaire are:
- " to self-assess what you already know and the level of know how related to
BDS for small enterprise;
- " to provide information to tutors so that they can support you during the
learning process.
To reach these objectives, you are requested to fill in the questionnaire below
by using the scale according to your experience in using the following
competences.. Your answer will also allow us to make suggestions.
1. No experience at all (Competences I never use)
2. Very little experience (Competences I seldom use -less than 15%)
3. Some experience (Competences I use some times -less than 50%)
4. Frequent experience - (Competences I frequently use - more than 50%)
5. Highly experienced (Competences I generally use - nearly 90%)
6. Very highly experienced (Competences I always use)
Please note that only one choice is allowed. |
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7. Optional modules
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Please indicate the optional modules selected.
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Module 3 - Affordable and Viable Pricing of BDS Services
Module 4 - Designing and
Delivering for Start-ups
Module 5 - Designing and
delivering for Growth Enterprises
Module 6 - Designing and
delivering for Mature Enterprises
Module 7 - Bridging the
Digital Divide
Module 8 - Measuring
Performance and impact of BDS |
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8. Course fee
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| Please detail who is responsible for paying the
course fee. |
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9. Course starting
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| Please select the course starting date: |
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Start date: May |
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Remarks:
After you have submitted the application form, you will receive a preliminary confirmation message and a formal payment request. When you process the payment, kindly send us the relevant proof of payment: you will then receive the Identity Username and Password that you will use to access the ODL BDS platform and start the course.
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