International Institute on Ageing, UN Malta

Application Form

To place an application for one of short training programmes, please fill in the form below and click the submit button at the bottom of the page. We guarantee that the information you submit will not be given to third parties or used for any purposes other than those directly related to INIA. Please note that communications are normally sent to your Work Address.

Any queries should be addressed to Ms Rosette Bonello, Senior Technical Officer at rbonello@inia.org.mt

Course Applied for:

Social Gerontology		check to apply
Economic and Financial Aspects of Ageing		check to apply
Medical Gerontology		check to apply
Policy Formulation, Planning, Implementation and Monitoring of the Madrid International Plan of Action on Ageing		check to apply
Demographic Aspects of Population Ageing and its Implications for Socio-Economic Development, Policies and Plans		check to apply
YOUR DETAILS

Family Name(required)
First Name (required)
Other Names
Date of Birth (required)
Sex (required)
Nationality (required)
Home Address (required)
Home Telephone no.
Home Fax no.
Home E-mail address
Work Address (required)
Work Telephone no.
Work Fax no.
Work E-mail Address

Education

Start with last attended institution and work backwards.
At least one entry required.

Name of Institutions

Years of study

Major Fields of Study

Qualifications Obtained

Employment Record

Start with present post and work backwards.
At least one entry required.

Title of Post

Official Title of Employing Organisation

Years of Service

Brief Indication of Work and Responsibilities

Other Information (e.g. publications, membership of professional associations)

Reasons for applying for this programme and description of the use you will make of your studies:

Recommendation by the Head of your Organisation:

Please send an original signed recommendationon official letterhead addressed to the Director. A copy can be faxed on Fax Number: ++ 356 21 23 02 48.

Source of funding:

INIA has very restricted funds for this programme compared with the number of well qualified applicants and therefore can only offer a limited number of partial scholarships. It would help an applicant's chance of attending the programme if travel costs could be covered from local/other resources.

Funding	Self-Funding *
	Funded by Applicant's Organisation
	Partial INIA Scholarship (i.e. other than travel expenses)
	Other funding

* The applicant will cover the cost of travel, accommodation, meals and tuition fees.

As the programme will be conducted in English, proof of proficiency in that language should be provided.