International Education and resource Network Pakistan
www.iearnpk.org
Please fill this form completely and submit for registrations by 20th November 2006.
1- Please provide the following contact information:
First Name Last Name Middle Initial Title Organization Street Address Address (cont.) City State/Province Zip/Postal Code Country Work Phone Home Phone FAX E-mail
2-Name , position and Full Address of the organization where you are working currently.
3-Qualifications (please include university, teaching and other qualifications):
4-Professional Experiences (include name of institutions, positions held and dates starting from the current position):
5-No of years/months you have been involved with iEARN programs.
Less then 1 year More then 2 years Less then 5 years
6-Teaching experience in school/College (mention number of years).
7-List some of the trainings/presentations that you have conducted or coordinated as a professional.
8-Please list the iEARN Online projects that you have implemented as teacher or in any other capacity.
9-Would you be willing to train and support your colleagues for participation in the iEARN projects?
YES No
10-Why do you want to participate in this workshop? Write an essay of minimum 700 words. You an include: how many classes/student you will involve, number and name of the project, training plans or programs, how many other schools you plan to reach etc.
11-If you are planning to come from outside Karachi. Do you have funding or sponsors for covering the cost.
Cost: Rs. 5000/= Registration: Last date for the registration is November 15th 2006. Participants finally selected for the program will be notified by a letter by 25th November, confirmation will be send to only the participants for whom our office receives full payments. Each participant will have to fill in the form individually online or hard copy and then for final registration participants, school Principals , Vice Principals will have to send a nominations with payments. All payments can be made by a bank draft/pay order or a crossed check in the name of “Society for International Education” no later then 20th November. Cash payments can be made in person at the iEARN Centre-Karachi. There are limited seats for this program and are assigned on the basis of diversity, needs and as well as first come first serve. - All registration information can be obtained from Shaikh Irfan Waleed at the iEARN Centre. Completed applications with payments can also be mailed to The iEARN Centre 22, Alibhai Centre. 233-A Shahrahe Quaideen PECHS Block-2. Karachi 75400 Pakistan.
Cost: Rs. 5000/=
Registration:
Last date for the registration is November 15th 2006.
Participants finally selected for the program will be notified by a letter by 25th November, confirmation will be send to only the participants for whom our office receives full payments.
Each participant will have to fill in the form individually online or hard copy and then for final registration participants, school Principals , Vice Principals will have to send a nominations with payments.
All payments can be made by a bank draft/pay order or a crossed check in the name of “Society for International Education” no later then 20th November. Cash payments can be made in person at the iEARN Centre-Karachi.
There are limited seats for this program and are assigned on the basis of diversity, needs and as well as first come first serve.
- All registration information can be obtained from Shaikh Irfan Waleed at the iEARN Centre.
Completed applications with payments can also be mailed to
The iEARN Centre
22, Alibhai Centre. 233-A Shahrahe Quaideen
PECHS Block-2. Karachi 75400
Pakistan.