First name:



Last name:



Date of Birth: dd / mm / yyyy:



City:



Country:



Email:



Clarity on work experience, education, training & motivational fit:

Please provide a brief overview of your work experience in the last 5 years: i.e. the positions you have held as well as a list of responsibilities you had to fulfill



Describe your level of competence and skill specifically related to teaching and training:



Please provide an overview of your highest level of education and training:



What is your motivation to apply for the TIC Training of Trainers course and why?:



Describe your level of Islamic training:

Read Good Fair Non-existent
Speak Good Fair Non-existent
Write Good Fair Non-existent


What is your experience in working in the area of human rights?:



Are you able to dedicate a consecutive 3 month period to this training?:



Describe your work experience in working within the global queer community?:



Are you willing to become a TIC trainer?:



Do you have any medical information that TIC would need to know about?:



Is there any information that needs to be disclosed that might prevent you from being fully present during the training?:



Do you have any questions that you would like to have answered?:





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