SISS APPLICATION FORM

FIRST NAME:

LAST NAME:

TITLE:
EMAIL ADDRESS:
GENDER:
NATIONALITY:
CURRENT SCHOOL:
COUNTRY:
IS YOUR SCHOOL AN ECIS MEMBER?

ARE YOU /HAVE YOU BEEN A HEAD/DIRECTOR OF SCHOOL?

NUMBER OF YEARS AS BOARD MEMBER?

BOARD POSITION

Number of years as a Board Member/Proprietor at current school*

Number of years as a Board Member/Proprietor at any previous school*

PROFESSION
PRIVATE MAILING
ADDRESSS
Please include international dialing code
PHONE NUMBER:

MOBILE/CELL NUMBER
WHAT MODULE ARE YOU APPLYING FOR?
Module 1
Module 2
Both modules

Why do you want to participate in the ECIS Sustainable International School Governance
program?*
Please explain your rationale for wanting to participate in the SISG program. Please be concise
(400 - 500 words). IT IS RECOMMENDED THAT YOU WRITE AND SAVE THIS TEXT IN
WORDPAD OR OTHER TEXT EDITOR AND TO COPY AND PASTE HERE BEFORE
SUBMITTING IN CASE OF ANY UNFORESEEN CONNECTION ERROR.

How did you find us?

Please complete all the relevant fields in this form before submitting. By submitting this form, you
are agreeing to all the terms and conditions of the program.
If you have any problems, please contact helpdesk@ecis.org
Fields marked with an asterisk * are required fields.

UK Data Protection Act 1998

The ECIS will process the information collected in this form for the purpose of assessing
applications to participate in a program for Sustainable International School Governance. This
information will only be used by ECIS.
PLEASE SUBMIT TO sisg@ecis.org