1. Course applied for Course title Course code Course dates 2. Personal information Full name Age Sex Nationality Profession/Job Address (Organisation, Postal, Physical, Tel, Email & Fax) Present Future 3. Educational background State qualifications; year(s) and name(s) of institution(s) you qualified. 4. Present and future responsibilities Describe your present responsibilities/activities. 5. Previous work experience State your most recent work experience relevant to this application: 6. Language Indicate your level of proficiency in the following languages: Swahili Fluent Good Poor None English Fluent Good Poor None French Fluent Good Poor None German Fluent Good Poor None Spanish Fluent Good Poor None Previous Swahili lessons attended Name of institution Course attended / level Duration Topics covered during training Exposure to Swahili speaking environment? Where? For how long? 7. Expectations What areas/concepts of your interest (within the course programme) would you like to concentrate on? Indicate in order of preference. 8. Special needs Do you have any special needs? State only those which will have an influence on your participation in the course, e.g. diet, disabilities etc. 9. Children/Spouse Is your spouse and/or any children accompanying you? If yes, state spouse’s name. Spouse attending a course should fill-in a separate application form. Spouse not attending a course pay for accommodation and meals only. Also state name(s), age(s) of chid(ren) and languages spoken. 10. Accommodation Single room Shared double room 11. Pets Please observe that all kinds of pets are prohibited at this centre. 12. Information Where did you get the information about this Centre? 13. Sponsorship Who will be responsible for payment of your course fees? Contact person Organisation and address - postal and physical Fax Telephone Email Recieve confirmation on email

A. Personal Data: Name of applicant Sex Date of birth Nationality Title/Position Project/Organisation which applicant is serving Address Phone Fax E-mail Recieve confirmation on email B. Academic & Professional Qualifications [List applicant’s education, indicating year, institution and qualification obtained, e.g. B.A., Diploma, etc.] C. Past Work Experience [Give details of applicant’s work experience starting with the most recent - Please state job title; organization and years worked] D. Present Job Responsibilities & Activities [Indicate responsibilities and activities applicant is responsible for in her/his present or most recent job ] E. With reference to your work experience/career to date, outline two problems you have faced and how you have responded to them (write 300-500 words or half A4 page- Use separate paper) F. What local, national or global development issues are you interested in and why? (write 300-500 words) G. With regard to your future work plans, how will this course be of benefit to you? H. For employers: How will this course benefit your organisation? I. Sponsor(s) (Please indicate who is sponsoring you) (i) Project/Organisation Representative/Contact Person Address (postal/physical) Telephone Fax Email Website (ii) (if self, please indicate how you are going to raise the funds): Self: (iii) Any other (please explain) J. Accommodation Single Shared double K. Referees: Please give us the contact addresses of two referees. Name Address(postal/physical +phone/fax/email): Name Address(postal/physical +phone/fax/email):

1. Course applied for Course title Course code Course dates 2. Personal information Full name Age Sex Nationality Profession/Job Address (Organisation, Postal, Physical, Tel, Email & Fax) Present Future 3. Educational background State qualifications; year(s) and name(s) of institution(s) you qualified. 4. Present and future responsibilities Describe your present responsibilities/activities. 5. Previous work experience State your most recent work experience relevant to this application: 6. LanguageIndicate your level of proficiency by marking X below the appropriate letter. F=fluent; G=good; P=poor; N=none. Swahili Fluent Good Poor None English Fluent Good Poor None 7. Expectations What areas/concepts of your interest (within the course programme) would you like to concentrate on? 8. Special needs Do you have any special needs? State only those which will have an influence on your participation 9. Children/Spouse Is your spouse and/or any children accompanying you? If yes, state spouse’s name. Spouse attending a course should fill-in a separate application form. Spouse not attending a course pay for accommodation and meals only. Also state name(s), age(s) of chid(ren) and languages spoken. 10. Accommodation Single room Shared double room 11. Pets Please observe that all kinds of pets are prohibited at this centre. 12. Information Where did you get the information about this Centre? 13. Sponsorship Who will be responsible for payment of your course fees? Contact person Organisation and address - postal and physical Fax Telephone E-mail Recieve confirmation on email

MS-TCDC is a Training Centre for Development Cooperation in Eastern and Southern Africa. We are situated close to Arusha in Northern Tanzania.

Over the last 30 years MS-TCDC has gained rich experiences in training development workers, civil society organisations and their partners, donors and government agencies across the Eastern & Southern Africa region.

MS-TCDC is a non-profit institution, and as such we do our outmost to combine the highest quality of teaching and excellent services with prices affordable for most organisations working in development.