This action might not be possible to undo. Are you sure you want to continue?
SA-E) Workshop Application Form
Nairobi, KENYA (11th - 15th October, 2010) Please fill in all items completely. Application forms with missing information will not be considered for this workshop While applying, use the following subject : “Application : Unix System Administration Workshop For Eastern and Central Africa Women Engineers”
Full Name (As Appears on Passport): Institution name: Institutional address:
Country: Passport No : Nationality: Issue Date Expiry date: Email address: Telephone number: Job title: Description of duties and responsibilities
Are you a Unix/Linux user? If so for how long?
Have you been a Unix Systems Administrator? If yes Describe your experience (length of time versions etc)
One requirement to participate in this workshop is that you conduct a follow up one day Unix System Administration seminar in your country. Are you willing to meet this requirement? If yes, when? Within the next 6 months of this workshop? Knowledge of English: Listening/comprehension: Reading: Speaking: Writing: Knowledge of French: Listening/comprehension: Reading: Speaking: Writing:
Email completed form to: email@example.com The applications close on 30th August 2010. Applications received after this date will not be considered. Please ensure that you submit your application in time and fully completed. Selections will be on a competitive basis. Only shortlisted applicants will be contacted.