Teaching course application

Title(Required)

Aims of the teaching course(Required)

Course Location, City, Venue(Required)

Dates and duration(Required)

Course Director(Required)

Course Director e-mail(Required)

Brief CV of the Course Director(Required)

Max. file size: 256 MB.

Anticipated attendance (for each type attendee)(Required)

Preliminary program(Required)

Max. file size: 256 MB.

Desired outcomes(Required)

Name at least 1 confirmed IPNA regional speaker (IPNA Member)(Required)

Name at least 1 IPNA international speakers (IPNA Member)(Required)

Registration fees for participants (in US$)(Required)

Detailed incomes and expenses (in US$). Please make sure that the budget is following IPNA Teaching Courses Policy and it is submitted in the requested template(Required)

Max. file size: 256 MB.

Sponsors(Required)

Requested amount of IPNA contribution as per IPNA Policy(Required)

Please indicate any local specific issues in particular travel, safety and health issues

Local specific issues

Teaching Course Application

Please indicate any local specific issues in particular travel, safety and health issues