SRT PERU 2020 - Call for Facilitators
Dear applicant,
We are so happy to open our CALL FOR FACILITATORS!
We need your help, skills, energy and compromise to make the SRT PERU 2020 one of the best events of Capacity Building for our members in the Americas region. Please, do not hesitate on filling this form and joining our super team of trainers!

ABOUT THE EVENT
:
- Theme: Americas United for Peace Building
- Date: 5th-9th of February 2020
- Place: Trujillo, La Libertad - Peru; specifically in Universidad Privada Antenor Orrego

WORKSHOPS OFFERED:
- Training Medical Education Trainers (TMET)
- Professional Research and Exchange Training (PRET)
- HIV Education and Advocacy Training (HEAT)
- Public Health Leadership Training on UHC (PHLT)
- Training New Human Rights Trainers
 (TNHRT)

WHAT WE NEED FROM YOU:
- Your time, educational skills, energy and compromise with the participants and the team of facilitators.

YOUR BENEFITS:
- Accommodation and food
- Transportation to/from the airport and to/from the event
- Travel fund of up to 200 USD for international trainers

DEADLINE : December 29th, 2019 23:59 GMT-5

DISCLAIMER:

By filling up this Application Form, you are voluntarily providing your personal information such as full name, telephone number, local association and your email address. The use of the information provided on this form will be related to your response on the form and will not be used for any other purpose. The personal data provided will be stored until March 31, 2021, or anonymized in case of prolonged storage. If you want your personal data to be deleted before, you can request it by sending an email to trainingsdd.ifmsaperu@gmail.com. Personal data will be available for the national team of the TSD as well as for the Training Support Division Director of IFMSA-Peru.

For more details about the workshops or any other questions, please contact trainingsdd.ifmsaperu@gmail.com

Black hugs!!
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YOUR PERSONAL DATA
Full name and surname *
Name as you would like it on the nametag
If you would like your full name, you can leave this blank, if you prefer a shorter version of your name write it here!
Email *
NMO *
Nationality *
Date birth *
MM
/
DD
/
YYYY
Passport number *
Mobile number *
With the code of your country (i.e +52 99999999)
Facebook account link *
Food preference *
Any additional comments to dietary requirements? Food allergies? *
Will you need and invitation letter from the OC *
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