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  • Applicant Information

  • Organization/Employer Information

  • Telephone and E-mail

  • Home Address

  • Date of Birth

  • Citizenship

  • Course Selections

  • Applicant Training Goals

  • Please explain in 100-125 words how training you would benefit your company/organisation and your country. What potential leadership role might you play upon your return home?
  • English Language Ability

  • Formal Education

    Secondary
  • University
  • Other

    Other
  • Current Position and Professional Experience

  • Describe your current and previous communications/IT responsibilities; where applicable please highlight managerial experience. Include types of systems/equipment with which you have worked, attendance at major conferences, awards, and any other accolades you have received.
  • Emergency Contact Information

  • Please provide contact information for two relatives or friends in your home country. Please also provide the contact information of two relatives or friends in the United States. If do not have any contacts in the United States, please leave that section blank.
  • In-country:

  • In the U.S.:

  • Funding

  • My organization will pay for my travel and/or subsistence (check all that apply):
  • I am applying for USTTI support for (check all that apply):
  • Supervisor Information

    Supervisor contact information, where appropriate, is required by the USTTI.