IMPORTANT

A passport size photo of the applicant should be emailed as an attachment along with this form to:

SEND EMAIL


Application form for INDIVIDUALS:

 

 

 

 

 

 

 

 

 

 


 

   
   
   
 
Application Form

Application for Programme Participation, Assessment or Certification
For Agencies

Continuous Professional Development
Under the
Joint Council of Field Development Practitioners


 

Which Programme Participation, Recognition or Award are you looking for?
Please write in full


Examples are:

(a) Social Responsibility Management (including Social Accounting)

(b) Field Practitioner’s Recognition / Award

(c) Executive Field Practitioner’s Recognition / Award


[i] Company or Organisation's Details

Title/Name:
Date Formed
E-mail Address:
Telephone
Fax:
Postal Address:
Countries you are operating in:
   
[ii] Give an account of your company's/organisation's field engagements as well as the related investment goals


[iii] Give an account of your company's/organisation's learning and experiences in the field engagements


[iv] List relevant associations your company/association already belongs

Name Main Objective
 
[v] Educational background of your chief officer
Name of Sch., Coll., University attended
Date attended
Qualifications
 
From
To
 
[vi] Please provide names and addresses of referees, one of who should be your current employer or supervisor.

SIGNATURE:
(your Initials)
DATE:
 

 


 

 

 

 

 

 


© 2004-2009 All rights reserved.