Peace Education 2021 Online Course Application

Peace Education:
Designing Pedagogies for Change
March 2 to April 1, 2021

Online Course Application

Instruction: Please read these instructions carefully before proceeding:

Be sure to fill out/check all the appropriate boxes with the correct information.
All dates should be in the following format: dd/mm/yyyy (day/month/year). There is a date selector you can use next to each date box to simplify entry of dates.
You are asked to include a short essay on describing your relevant work and personal experience that motivate and prepare you for this online course and a short essay on how you will apply what you learned. Each statement is limited to 4,200 characters, or approximately 600 words (250 word-minimum). You may want to write these statements in a word processer before working on this online form and then cut and paste the statements into this form in case your internet connection is interrupted.
You will also have the opportunity to upload your Curriculum Vitae/Résumé. Please have this ready to upload. You may also upload this documents later https://mpiasia.net/pe2021upload.
Once you are ready to begin, please click the "next" button below. Click on this same button after each page is completed and then click on the "submit" button on the last page. You will be taken to a confirmation page and should receive a confirmation email.

You may also download a fillable PDF form that you can complete, save, and upload here or use as a reference for completing the online version.

DEADLINE FOR APPLICATIONS:
February 19, 2021

1. Personal and Contact Information

Name (as in ID):

Prefix (Mr./Ms., etc) Last Name/Surname First Name/Given Name Middle Name Suffix (Jr./Sr., etc.) Nickname/Short Name

If you hold dual nationality, you may indicate that here.

Nationality

Location

City/Town

Department/Province/State

Country

For telephone numbers, be sure to include country and area codes in the following format: (+country code) area code number. For example: (+63) 82 295-2776.

Mobile Number Preferred Email Address*

Sex Female Male Date of Birth

Religion

Please indicate your English Proficiency by checking the appropriate box:

Basic Conversational Fluent Proficient

2. Organization

(Please indicate where you are presently working or studying.)

Organization

Organization's Street Address/PO Box

City/Town Department/Province/State Zip Code/Postal Code Country

Official Email Address (if different from Preferred Email Address) Job Title/Position

For telephone numbers, be sure to include country and area codes in the following format: (+country code) area code number. For example: (+63) 82 295-2776.

Office Phone Number

3. MPI Related

Please indicate if you ever attended MPI's Annual Peacebuilding Training.

MPI Alumnus/a Yes No

Where did you learn about this online course? MPI Website MPI Facebook Page Organization with which you work Other

Other place learned about MPI

4. Additional Information

In 600 words/4,200 characters (250 word-minimum), please describe relevant work and personal experience that motivate you to take this online course.

In 600 words/4,200 characters (250 word-minimum), please indicate the ways in which you expect to apply what you learned from this online course in your personal life, in your community and/or at work.

Data Privacy Consent

The Mindanao Peacebuilding Institute Foundation, Inc. (MPI) considers your privacy very important and adheres to the 2012 Data Privacy Act of the Philippines. For any questions or concerns regarding your data that is processed by MPI, please see MPI’s Privacy Policy at https://mpiasia.net/privacy.html or contact our Data Protection Officer at web-admin@mpiasia.net or 63-82-295-3776 or mobile number 63- 948-494-1579.

In compliance with the Data Privacy Act (DPA) of 2012 of the Republic of the Philippines, and its Implementing Rules and Regulations (IRR) effective since September 8, 2016, I allow the Mindanao Peacebuilding Institute Foundation, Inc. (MPI) to process this form and enclosed documents and provide certain services in relation to this online course.

As such, I agree and authorize MPI to:

Use and process the information provided in this form for course enrollment and ongoing communication.
Retain and store my information for a period of seven years after the Peace Education:
Designing Pedagogies for Change online course in a secure manner in both electronic and physical copies.
Share my information with the facilitators for the development of the online course and class activities, and with third parties for any legitimate purposes in relation to the online course. I am assured security systems are employed to protect my information.

By entering your name below, you are agreeing that you have read and understand the above and consent to submitting this application electronically. We will not to be able to process this application if you decline to accept the terms and conditions in this section.

Name*

Date

Additional Information Required

Here is where you may also upload your Curriculum Vitae/Résumé. Please make the file names unique and identifiable with your last name and first initial.

Allowed file extensions: pdf, doc, docx, jpg, jpeg, gif, png, odt, tif, tiff

Curriculum Vitae/Résumé:

Thank you for submitting your application for Peace Education: Designing Pedagogies for Change online course!

If you did not upload the additional requirements, please be sure to upload them at https://mpiasia.net/mpi2021upload to complete your application. If you are having trouble uploading your documents, please contact apply@mpiasia.net. Please do not send any documents with personal information by email.

After we have reviewed your application and if you are accepted to the course, an Acceptance Letter along with a Billing Statement will be sent to you. Please wait for these documents for further instructions on how to proceed.

Kalinaw,

Novee WIla Rafaela
Peacebuilding Trainings Program Officer

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Peace Education Application