The Changing Character of Armed Conflict:

Understand, Plan, Act

Executive Leadership Course

26-30 June 2017

APPLICATION FORM

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First (given) name(s)Family name/surname

Title: Dr/Ms/Mr/Mrs/other (please specify)Male/FemaleDate of birth

NationalityCountry of residence and work

Disability (please indicate if you require ground floor accommodation, for example)

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Address for correspondence:Tel

Email

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Name and address of employer/organisationTel

Employer’s email

Present positionDate appointed

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Educational and professional qualifications(in brief)

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Current work responsibilities or other experience relevant to this course

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Personal statement (motivation letter) in support of your application (please write 500-750 words and attach as a separate sheet)

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Source of funding for leadership course (please tick): self  employer/sponsor 

Please provide details if necessary.

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How did you find out about the summer school?

CCW mailing  CCW website  Word of mouth  Other (please specify)

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Vegetarian?Any other special dietary requirements*?

*While every attempt will be made to accommodate your requirements, we cannot guarantee to meet all your needs.

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All courses on the Executive Leadership Course are conducted in English. Course participants need to have sufficient command of the English language to be able to participate fully. As a guide, foreign-language English speakers should be able to obtain a score of 7.00 in ELTS/IELTS or 570 in TOEFL.

I confirm that my command of English is of the required standard  (Evidence may be requested)

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I confirm that I have the necessary funding to attend this course 

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I confirm that I meet the standard of professional and educational requirements to participate 

(We reserve the right to request further evidence or references as part of the application procedure)

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Please tick as appropriate:

I do not require a visa to visit the UK.

or I do require a visa and understand that it is my responsibility to make the necessary arrangements in good time. 

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I enclose my CVMotivation letter  Passport scan

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Signature of applicantDate

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Places cannot be guaranteed after 15 May without full payment of course fees.

In the event of cancellation by the participant, the following terms apply: cancellations received after the closing date but before 23 May – 50% of the course fee is non-refundable. Cancellations received 24 May to 6 June – 70% of the course fee is non-refundable. Cancellations received after 6 June – 100% of the course fee is non-refundable.

Data will be stored in accordance with the Data Protection Act 1984 and used for internal purposes only.

Please email the completed form to .

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