LTC Institute Application Form

 

REGISTRATION:

This is an application form for a team of four to participate in the Learning to CARE Institute and follow-up training and support during the 2010-2011academic year. Up to nine teams from different Arab countries will be selected, with the expectation that they will provide training in their own country to help schools develop effective service programs.

 

If you have questions or have any difficulty preparing or submitting the application, please contact us by phone at 00961-1-449536 or  00961-3-277335 or by email at: ltc_program@avs.org.lb.

 

PLEASE NOTE: THIS IS A TEAM APPLICATION FORM.

The team must have exactly four (4) members. This application form will only be considered if information is provided for all four members of the team. After a team has been accepted, a member of the team can only be replaced by another qualified person who is approved by the LTC Program Committee. Please complete the form below and email it to ltc_program@avs.org.lb or fax it to: 00961-1-449470 as soon as possible, but no later than Thursday September 22nd.

____________________________________

 

APPLICATION FORM

CONTACT PERSON
ORGANIZATION/INSTITUTION

Does your organization have any experience with schools? With volunteering? With school service programs? How do you feel that your team is well positioned to have an impact on the development of school service programs in your country, whether for public or private schools?

TEAM MEMBERS:

 

The team must have exactly four (4) members. This application form will only be considered if information is provided for all four members of the team. After a team has been accepted, a member of the team can only be replaced by another qualified person who is approved by the LTC Program Committee. Please fill out the information below for each of the four team members:

 

TEAM MEMBER 1:
Date of: (for the passport)
TEAM MEMBER 2:
Date of : (for the passport)
TEAM MEMBER 3:
Date of : (for the passport)

What experience do you have in teaching, supervising and/or empowering youth as teachers, Scout leaders, or in some other capacity?

TEAM MEMBER 4:
Date of : (for the passport)
Scholarship:

 

Please complete the following section if you would like your team to be considered for a scholarship for the Institute.

 

Our team can pay the following amount of the $2000 registration fee per team. $__________  (Note: Put 0$ if you cannot pay any of the fee. Your contribution will allow us to help others attend the Institute.)

We need a scholarship to cover airfare for team members.

PLEASE NOTE:

 

Teams must have the financial capacity to fulfill their obligation to train and follow up with at least five schools in their country during the 2010-2011 academic year.

 

Please complete this form and email it to ltc_program@avs.org.lb or fax it to: 00961-1-449470 as soon as possible, but no later than Thursday September 22nd.

 

 

For more information you may also call or email:

Dalal Farah

Safaa El-Makkaoui

Dr. Patricia Nabti

Manager, Arab Initiative

LTC Program Coordinator

AVS Director

initiative@avs.org.lb

ltc_program@avs.org.lb

pnabti@avs.org.lb

961-70 571924

961-3- 277 335

961-3-757 098