Executive Education › Short Programmes › Global Health Diplomacy › Applications › application form

Application Form

 

Global Health Diplomacy Summer Course 21-25 June 2010
Application deadline: 2 April 2010

 

 Your application will be processed within three weeks of the deadline.

For questions regarding the application procedures or any other aspect of the course, please consult our website or contact us by e-mail at globalhealthdiplomacy(at)graduateinstitute.ch

 

Family Name *
First Name *
Male/Female *
Date of Birth *
Nationality *
Correspondence Address *
E-mail address *
Telephone Number: Home/ Work *
Status *
Education History *
Employment History *
Your résumé (CV) *
English proficiency *
Referees *
Have you attended a Graduate Institute (former HEI) executive course or summer programme course in previous years? *
If YES, please give details
What is your motivation to attend the Executive Course on Global Health Diplomacy? (30 lines max.) *
A very limited number of scholarships are available for course tuition only. Please indicate here if you would like to be considered.
How did you come to know the Graduate Institute's executive course? *
 Media (Article, Advertisement)
Internet
Personal Recommendation
Poster/Flyer Graduate Institute
Other
Checklist: Please tick the following boxes to confirm that you have completed all the questions and included the following with your application *
 Name of two referees
Statement of your motivation
Copy of recent résumé
I declare that the information supplied in this form is true to the best of my knowledge and belief. *
*Mandatory field