iCRA

Candidate registration form

Please complete the fields below. All fields are required unless marked as 'Optional'.

Welcome to the Scholarship application form for iCRA courses.
Please check for details our www.icra.global/scholarship-information/ page with information on what documents you need to submit, e.g. at least a valid passport and a correct employer statement i.e. provided here.

When you still have questions feel free to contact me: saskia.vleer@icra.global

With this form you can apply for a scholarship or subsidy for programmes managed by Nuffic. The careful handling of your personal data is very important to us. Please see this privacy statement for more information. privacy statement

Intended study programme

Course

Nominating employer

Name of organisation

Current position

Tasks and responsibilities

Name Contact person/supervisor

Email contact person/supervisor

Telephone contact person/supervisor

Personal details

Surname

First name

Date of birth

Telephone1

Reference/project code

Motivation

What is the issue or problem you would like to address in your country?

How will this course enable you to adress this issue?

How does the position you hold within your organisation enable you to address the issue upon your return?

Are you currently, or were you previously, involved in an OKP institutional collaboration project and/or Tailor-Made Training (Plus)?

NoYes

Please tick ‘Yes’ for 1 policy theme only, the one that applies to your application most directly. Tick ‘No’ for the other policy themes.

Does your application address the policy theme 'Food and Nutrition Security'?

NoYes

Does your application address the policy theme 'Water, Energy and Climate'?

NoYes

Does your application address the policy theme 'Sexual and Reproductive Health and Rights'?

NoYes

Does your application address the policy theme 'Security and the Rule of Law'?

NoYes

Does your application address a policy theme not mentioned above?

NoYes

Documents

Identification document

Choose file

You can only upload PDF files (max. 10MB)

Employer statement

Choose file

You can only upload PDF files (max. 10MB)

Government statement

Choose file

You can only upload PDF files (max. 10MB)

I agree that if I am selected, my contact details will be processed into the database of the Holland Alumni Network for promotional and networking events. Please note: your answer has no influence whatsoever on the decision to award or not award you a scholarship or grant.

NoYes