Please complete this form in its entirety and send via email to
Email:
Prefix (Mr., Mrs., etc.):
First Name:
Last Name:
Job Title:
Name as it would appear on a badge:
Company/Organization:
Address Line 1:
Address Line 2:
City:
Country
Zip (Postal Code):
Home Phone:
Work Phone:
Extension:
Fax:
Gender: Male Female
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Passport Number:
Emergency Contact Name:
Emergency Contact Phone:
Please describe your current position and previous experience. Your statement will be shared with Facilitators and Students. Maximum 100 words.
Name of Your Sponsor
Sponsor Contact Info: (Address, City, Country, Postal Code, Telephone, Email, Website)
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CERTIFICATE COURSE INFORMATION
Daily Class Schedule
Morning Session:8:30 AM - 10:00 AM Module 1
10:00 AM – 10:15 AM Nutrition break
10:15 AM – 12:00 PM Module 2 / Afternoon Session:
1:30 PM – 3:00 PM Module 3
3:00 PM - 3:15 PM Nutrition Break
3:15 PM – 5:00 PM Module 4
Course Registration Instructions
You must enroll for and attend the full week of the program and must arrive by Saturday,June 20th (unless you will be commuting). The program runs until 5:00 PM on Saturday, June 27th.
COURSE TUITION, ROOM, AND BOARD
The fees for tuition and room and board are $2,500 and include all books, reading materials, a course USB, and field trips. See below for information on accommodation and meals.
ACCOMMODATIONS AND MEALS
Lodging:
On-campus accommodations will be dorm style with a private bedroom and a shared bathroom. SMDP Students will stay in the UNH Fairchild Hall dormitory( provides traditional residence hall-style housing. Common areas include a recreation lounge, three small study lounges, as well as a kitchen and laundry facilities.The building has air conditioning and is centrally located in the heart of downtown Durham. There are hotel options within walking distance, but prices are considerably more expensive than on-campus accommodations. If you stay off campus, there will be a discount of $325from full Tuition/Room and Board fees for non-residential (commuter) students. While housing will not be provided, all meals described below will be included.
Meals:
The SMDP will provide three meals per dayfrom dinner onSaturday, June 20th through breakfast on Sunday, June 28th. We will hold a closing banquet and certificate ceremony for all students and faculty on Saturday,June 27th. All other meals are the responsibility of students; there are several options both on and off campus for restaurant meals and a full service supermarket with takeout food.
OPTIONAL ACADEMIC CREDIT
SMDP NH Certificate Students may be able to earn master’s-level academic credit for participation in the SMDP. The UNH usual summer tuition fees will apply, and academic credit students will be required to complete additional assessment assignments. If you are interested in earning academic credit, please contact the SMDP NH Certificate Coordinator William Maddocks at .
SCHOLARSHIPS FROM THE MASTERCARD FOUNDATION
We are very pleased to make available scholarship funds through The MasterCard Foundation of Toronto, Ontario, Canada. We will award several Microfinance Practitioner scholarships. Scholarships will be awarded through a competitive application process. Please read the MasterCard Foundation eligibility criteria and complete the application located on the Registration and Costs web page. The SMDP-New Hampshire Certificate MasterCard Foundation Scholarship application deadline is May 1, 2015.
IMPORTANT:Do not submit this application if you are applying for the MasterCard Foundation Scholarships.
CERTIFICATE LOCATION
The Sustainable Microfinance and Development Program - New Hampshire will take place on the University of New Hampshire campus in Durham, New Hampshire, USA. Durham is located approximately one hour and fifteen minutes from Boston, Massachusetts. Airport transportation is not covered in the Room and Board fees. Please view the Travel Information page for options for travel from Boston's Logan International airport or the Manchester-BostonRegionalAirport or other location.
PAYMENT INSTRUCTIONS
Students will make payments directly to the Carsey School of Public Policy/University of New Hampshire in U.S. dollars and can pay by check from a U.S. bank, credit card, or wire transfer. Credit card payments are subject to a 2 percent processing fee on the total transaction amount. Please note that if payment is made by wire transfer, you must add $35 for the wire transfer fee.
A deposit of $500.00 is due within 10 days of registration. The balance of tuition and housing fees are due before your arrival in New Hampshire. Payments may be made by credit card, wire transfer, or check.
Check:
Please make payable to:
University of New Hampshire/SMDP and mail with a copy of this registration to:
Carsey School of Public Policy/SMDP New Hampshire
University of New Hampshire
73 Main Street, Huddleston Hall,
Durham, NH USA 03824
Wire Transfer:
Please contact the SMDP Registration Manager for wire transfer
Be sure to include your name on the draft and send us an email or fax letting us know that it has been processed. Please add a $35 fee to cover the cost of the transfer and other bank charges. Note, there is no standard rate for such costs and therefore it may vary from the recommended $35. In such a case, if your payments are either short or greater than the amount you owe, we will settle it while you are at the school. The payment amount will be based on the notification we receive from our bank as to what the actual deposit is, therefore make sure you correspond with us at egarding this.
Credit Card:
If you wish to pay by credit card, please contact the SMDP office r call 01-603-862-3603 and we can take your card information over the phone.
We will initially charge a $500 plus 2% processing fee ($10) for a total deposit of $510 to your card for each person you register upon receipt of your registration(s). The remaining balance will be charged against your card before your arrival at the Program once you have notified us that you have been issued an entry visa by the United Statesgovernment.
Once your deposit or full payment has been received, we will send you an email confirmation and will email you a Letter of Acceptance, which you may need when applying for a U.S. visa.
For payment questions, contact or call
01-603-862-3603 (Fax 01-603-862-3878).
Note: No cash payments for tuition and housing costs will be accepted at the program.
Refund Information:
If you cannot attend the SMDP, you may request a refund in writing or via email. Requests received before May 31, 2015, will be refunded in full, less a $100 processing fee. There will be no refunds for cancellations received after that date. It can take up to 4 weeks after the end of the SMDP-NH CERTIFICATE 2015 for your refund to be processed. The refund will be remitted in the form it was received. For example, credit card payments will be issued a credit back to the original card the charge was made on (due to credit card regulations we are unable to make exceptions to this policy), and wire transfers will be refunded via wire.
United States Visa Information
The visitor visa is a type of non-immigrant visa for persons desiring to enter the United States temporarily for business (B-1) or for pleasure, tourism, or medical treatment (B-2). For how-to apply information, documentation requirements, and more, see the following links:
Please note:The U.S. visa process can be quite lengthy.It is strongly advised that you begin the visa application process once you have been accepted to attend the SMDP-NH Certificate.
Important Health Information
The cost of medical treatment is very high in the United States. Hospitals and clinics are available at a cost if medical care is required. For health insurance information,google: “Travel Health Insurance or International Health Insurance” or visit the UNH Office of International Students and Scholars website at:
If you are more than thirty-nine weeks pregnant, it is very important that you consult with your doctor before making travel plans.
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