Applicant Information

Name(Required)
Gender
Status
Have you applied to the USTTI in the past?*

Organization/Employer Information

Telephone and E-mail

Date of Birth

MM slash DD slash YYYY

Citizenship

Do you have a current passport?(Required)
Do you have a current U.S. Entry Visa?(Required)
MM slash DD slash YYYY

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?
Describe in detail how you plan to share what you learned during training. Please provide specifics of how you will apply the skills obtained in order to bridge the cybersecurity leadership gap.

English Language Ability

Reading(Required)
Writing(Required)
Speaking(Required)
Comprehension(Required)

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

Name(Required)
Address
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):(Required)
I am applying for USTTI support for (check all that apply):

Supervisor Information

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

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About

Backed by U.S. government and industry leaders, USTTI equips professionals from developing nations with the skills to lead, regulate, and protect their communications networks — at no cost.

Location

1150 Connecticut Avenue, NW
Suite 702
Washington, DC 20036

Contact

USA Phone: +1-202-785-7373
Fax: +1-202-785-1930
train@ustti.org