CLEAR-Impact Evaluation Course Application - Shanghai May 2014

Demographic Section

In this section of the application, you will be asked to provide information about yourself and your background. In the next section, we ask you to complete a a quiz so that we may assess whether your technical knowledge is appropriate for this course. Thank you.

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1. Email address (Required.)

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2. Reconfirm your email address. All correspondence related to your application will be sent to this email address. (Required.)

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3. Personal Information (Required.)

Last Name/Family Name

First Name

Organization

Your Title/Role

Telephone Number (including country code)

City where you live and work?

Country where you live and work?

Nationality

The course will be conducted in English. Assess your knowledge of English (written and oral).

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4. Male or Female?

Male

Female

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5. Please list your academic qualifications. (Required.)

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6. Which of the following best describes your (a) position and (b) level (one answer per column)? (Required.)

	A. Type of Position	B. Level
Type and Level	Type and Level A. Type of Position menu	Type and Level B. Level menu

If other, please specify

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7. For which type of organization do you work? (Required.)

Government

Academia/Training/Research

Donor/Bilateral/Multilateral

Civl Society/Non-government organization

Private Company

Other

If other, please specify

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8. What is your overall motivation for participation in this course? (Required.)

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9. Please explain how this course can help you in your work conducting evaluations and other professional goals. (Please provide specific examples and not general information.) (Required.)

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10. Are you part of a team that is applying to this course? If so, please provide the name of the team and the others who will be applying. (Required.)

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* 1. Email address (Required.)

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* 2. Reconfirm your email address. All correspondence related to your application will be sent to this email address. (Required.)

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* 3. Personal Information (Required.)

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* 4. Male or Female?

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* 5. Please list your academic qualifications. (Required.)

Question Title

* 6. Which of the following best describes your (a) position and (b) level (one answer per column)? (Required.)

Question Title

* 7. For which type of organization do you work? (Required.)

Question Title

* 8. What is your overall motivation for participation in this course? (Required.)

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* 9. Please explain how this course can help you in your work conducting evaluations and other professional goals. (Please provide specific examples and not general information.) (Required.)

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* 10. Are you part of a team that is applying to this course? If so, please provide the name of the team and the others who will be applying. (Required.)

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* 11. Include any other relevant information about your application.

1. Email address (Required.)

2. Reconfirm your email address. All correspondence related to your application will be sent to this email address. (Required.)

3. Personal Information (Required.)

4. Male or Female?

5. Please list your academic qualifications. (Required.)

6. Which of the following best describes your (a) position and (b) level (one answer per column)? (Required.)

7. For which type of organization do you work? (Required.)

8. What is your overall motivation for participation in this course? (Required.)

9. Please explain how this course can help you in your work conducting evaluations and other professional goals. (Please provide specific examples and not general information.) (Required.)

10. Are you part of a team that is applying to this course? If so, please provide the name of the team and the others who will be applying. (Required.)

11. Include any other relevant information about your application.