Sustainability Management Course

THANK YOU FOR YOUR INTEREST IN THE SUSTAINABILITY MANAGEMENT COURSE!

INSTRUCTIONS FOR COMPLETING THIS FORM

You will not be able to submit this form unless you answer all of the questions bearing an *.

You will not be timed out of this form, however there is no facility to save and continue it at a later date.

We recommend to fill the form in all at once, it may help you to download the blank PDF-version for your reference here.

Once you click submit, a confirmation page will appear to advise that your form has been sent. You will also receive an automated email confirming receipt. You are advised to save and/or print a copy of this form for your records.

We anticipate contacting all applicants in the first week of September as to whether they have been selected.

If you have any questions about this form or the programme, please contact us at office@screeninstitute.eu.

DEADLINE FOR APPLICATIONS: Wednesday, 31 August 2022, 19:00 CET.

SECTION 1 - ABOUT YOU

First Name: *

Last Name: *

Company:

Job Title: *

Nationality (please state all nationalities you hold): *

Address: *

City: *

Postcode: *

Country: *

Mobile Phone (please include country code): *

Phone, other (please include country code):

Email address *

Preferred contact method *

Social Media Handles

How did you learn about this course? *

SECTION 2 - ATTENDANCE

It is a condition of the programme that you are able to attend online on ALL of the following dates. Please tick the boxes below to confirm you would be able to do this should you gain a place. *

6 - 8 October 2022 - Module 1, Day 1 - 3

13 - 15 October 2022 - Module 1, Day 4 - 6

12 December 2022 - Module 2, Day 7

IMPORTANT: We cannot accept applications from people who cannot attend all of the days.

SECTION 3 - MORE ABOUT YOU

1. Please tell us why you wish to attend the programme. (max 1000 characters) *

0/1000 characters

2. Tell us more about your sustainability challenge/project you intend to bring to the course. (max 1000 characters) *

0/1000 characters

2.1 Here you can upload up to 2 supporting documents (optional).

3. Sustainability Training - What sustainability/green producing training have you attended previously?

	Training Body	Year	Name of Course completed
1	Training Body	Year	Name of Course completed
2	Training Body	Year	Name of Course completed
3	Training Body	Year	Name of Course completed
4	Training Body	Year	Name of Course completed

4. Company Profile - If you are applying as part of a company/business, please provide a company profile.

5. Please provide a short biography outlining your role. *

6. Is there anything else you would like us to take into account when considering your application? (max 1000 characters)

0/1000 characters

SECTION 4 - FEES AND FINANCIAL SUPPORT

The Participation Fee for Sustainability Management is EUR 1.000 including tax per person. There is an early bird rate (*) available of EUR 900 for submissions before 18:00 CEST 31 July 2022.
* Please note that the early bird rate and scholarships for low capacity countries cannot be combined.

Please investigate how you will fund the course fee before you submit the application. We suggest you apply for financial support with your national/regional funding bodies.

If you require financial support from the Screen Institute Scholarships, the scholarship section of the form must be completed at this stage. Scholarships will be available to participants coming from low capacity countries or being from a country not providing scholarships for this kind of training or participants in any other proven situation of financial need.

Eligible Low-Capacity Countries (LCC): Albania, Bosnia and Herzegovina, Bulgaria, Cyprus, Georgia, Hungary, Iceland, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, Montenegro, North Macedonia, Republic of Serbia, Slovenia, Slovakia and Ukraine.

The LCC scholarship will cover 50% of the fee of the course.

If you are not from a LCC country and can give us good reason that you are in need of financial assistance and your national screen agency does not fund training in principle, please contact us before submitting your application to discuss whether you can apply for financial support. We have a very small fund available for a limited number of participants in genuine need.

Please find more information about booking terms, financial support and scholarships on our website.

IMPORTANT: It is not possible to request a scholarship after the application stage. If you believe there is the possibility you may require a scholarship, you are strongly advised to complete the scholarship application form.

Do you want to apply for an International Screen Institute Scholarship? *

Yes

No

Please complete this form if you want to be considered for an Screen Institute scholarship to attend the programme, should your application be successful.

If you have stated you would like to apply for an International Screen Institute Scholarship: How much, in Euros, do you require from International Screen Institute Scholarships (LCC applicants should apply for 50%)?

1. Are you a resident in a Low-Capacity Country?

Yes

No

2. Statement of support for International Screen Institute application: Please outline why you feel you need financial assistance to attend the programme, should your application be successful. (max 1000 characters)

0/1000 characters

SECTION 6 - EQUAL OPPORTUNITIES MONITORING FORM

International Screen Institute gives equal access to all sections of the community. To help us monitor this, please provide us with the following information. (The information you provide in this form will be treated as strictly confidential and will be used for monitoring purposes only.)

1. Please state how you identify yourself as (gender):

2. Please provide your year of birth:

3. Tell us where you live (city, town, country)?

4. Do you consider yourself to have a disability?

Yes

No

Prefer not to say

5. Do you consider yourself from a disadvantaged or underprivileged background? *

Yes

No

Prefer not to say

5a. If Yes, could you please tell us why?

SECTION 7: STATEMENT / SUBMISSION*

Data Protection: Please agree to the following statements before submitting. *

The information you provide us will be collected and processed, according to the General Data Protection Regulation (Regulation (EU) 2016/679 “GDPR”), for the purposes of administering the applications, evaluating scholarship requests and awarding scholarships, and for statistical and monitoring purposes as required by our co-funding entities. The information will be stored for a period of time consistent with what the law prescribes and having regard to the time required to correctly achieve the purposes stated above.

We may provide copies of the information to suppliers that are helping us assess applications or monitor funding, for the purposes stated above. We will not transfer the information to any unauthorized third parties, unless required by law.

If there are any questions on how we process your information or you wish to change your information, please contact the International Screen Institute at the address shown below.

Should your application be successful, and you gain a place on the course, your name, title, company and email address will be added to the closed International Screen Institute Network, which can be viewed by International Screen Institute alumni only.

By uploading my photograph with this application, I hereby give the International Screen Institute permission to use my image for promotion of the programme online and in print materials, should my application be successful, and I gain a place on the programme. I confirm that all the statements and information on this form are correct and true. Any materials I have sent in support of my application are also correct and true. I am happy for you to provide copies of this form and any supporting material to any person or organisation you wish to consult about my application. I am over eighteen years of age, and I am not an undischarged bankrupt. *

Agree

Disagree

UPLOADS

Photograph: Please upload here:

THANK YOU

Thank you for taking the time to complete this form.

Please submit this Application Wednesday, 31 August 2022, 19:00 CET.

If you have any questions about the programme, the form or financial support needed to attend this course, please contact us at office@screeninstitute.eu.