WASH in Emergencies
Regional WASH Workshops to Strengthen Humanitarian Preparedness and Response Capacity
Asia I Philippines I September 23-28, 2019
Application Form
*
indicates required
Name:
Email:
Comment:
First Name
Last Name
Sex
*
Female
Male
Transgender
Nationality
As stated in your passport.
Nationality stated in your passport /travel doc
...in case of dual citizenship, please indicate nationality of travel document with which you intend to travel
Email Address
*
Address
Street Address
Address Line 2
City
State/Prov/Region
Postal/Zip
Country
USA
Aaland Islands
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua And Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey (Channel Islands)
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Qatar
Republic of Kosovo
Reunion
Romania
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Vincent and the Grenadines
Samoa (Independent)
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkiye
Turkmenistan
Turks & Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City State (Holy See)
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Western Sahara
Yemen
Zambia
Zimbabwe
Name of your Organisation
Phone Number
Humanitarian Experience
No Experience
Little Experience (1 emergency response deployment)
Medium Experience (2-3 emergency response deployments)
Extensive Experience (professional background for many years)
Expertise in WASH
No Expertise
Little Expertise
Medium Expertise
Extensive Expertise
Association with German WASH Network
I work with a member organisation
I work with a local partner organisation of a member organisation
The training was recommended to me by a member of the network
No relation
Name of member organisation you're associated with
If applicable, please enter the name of the German WASH Network member organisation, which you are associated with.
Motivation to Attend the Training
Please describe in two sentences (less than 50 words) your motivation to attend the training.
Potential Thematic Inputs
To allow for a fruitful knowledge exchange we would like to give participants the opportunity to do short thematic inputs. This could be either presentations or short exercises on relevant experiences, projects, lessons learnt or best practice examples.
Type of Thematic Input
None
Project example
Lessons learnt
Best practice
Specific WASH-related approach, system, technology etc.
I Need Financial Support to Cover Travel Costs
No
Yes
Please note: The workshop is offered free of charge and local accommodation/catering will be covered. In addition there is a limited budget available to assist in covering travel costs for those organisations not able to cover travel expenses their own.
Estimated Travel Costs (in Euro)
Only relevant for smaller NGOs or local partner organisations in need of financial assistance. Please enter estimated travel expenses based of official offers (flight offers, local transfer fares). All others can ignore this field.
Relevant Professional Background
Please describe in two sentences (less than 50 words) your professional background. Please make clear why it qualifies you for the training.
Other Thematic Areas of Interest
Thematic Areas of your Interest
Humanitarian Principles & Standards
WASH Coordination/Cluster
WASH Project Cycle
WASH Assessment
Water
Sanitation
Hygiene
DRR & Preparedness
Equity & Inclusion in WASH
WASH in Schools
Market-Based Programming in WASH
Urban WASH
Socio-Cultural & Gender Competence