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Application for Audiovisual Trainin (r)
- Subject: Application for Audiovisual Trainin (r)
- From: woo@xxxxxxxxxxx
- Date: Sat, 22 Jun 1996 14:04:00
Subject: Application for Audiovisual Training course in Brussels
AUDIOVISUAL TRAINING COURSE IN BRUSSELS/BELGIUM
OSI/BURMA PROJECT - AUTUMN 1996
----------------------------------------------------------------------
APPLICATION FORM/Deadline: July 15, 1996
Please fill out Part 1 & 2 of the application in English and return it
to Burma Project by July 15, 1996 (BURMA PROJECT/OSI, 888 Seventh
Avenue, New York, NY 10106, Fax: (212) 489-8455) The courses must be
kept small, so only 3 of the most promising applicants will be chosen.
Travel and related costs for successful applicants will be covered.
Use separate sheet if you need more space
Part 1
Name:_____________________________ Alias:__________________________
Address (number & street):____________________________________________
City:________________ Post code:______________ Country:_______________
Telephone:_______________ Fax:_____________ E-mail:__________________
Age:_______________ Sex:______________ Ethnic Group:_________________
Immigration status:__________________________________________________
When did you leave Burma?___________________________________________
Highest education received in Burma:_________________________________
Subject studied:_____________________________________________________
Education/courses elsewhere (in detail):______________________________
______________________________________________________________________
English language ability: (check one) good____ average_____ poor_____
List name of non-Burman language you speak:___________________________
List 3 of your favorite films:________________________________________
______________________________________________________________________
Part 2
Explain why you wish to have audiovisual training:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Describe the first project you would undertake with your audiovisual
training, if you could do anything you wanted:
_____________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Explain why it's important for people in a country like Burma to get
the opportunity to be trained at audiovisual techniques.
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Signature:_______________ Print name:______________ Date:_____________
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