Application Form
A. PERSONAL DATA
1. Full Name:
2. Family Name (Last Name or Surname) Only:
3. Employer/Organization:
4. Position/Title:
5. Business Address: (not to exceed 40 characters per line)
6. Business Telephone:
7. Fax (if any):
8. Email address :
9. Home Address:
10.Home Telephone:
11.At which address would you like to receive your mail?
__ Business
__ Home
12.Which phone number do you prefer we call?
__ Business
__ Home
13.Date of birth (day/month/year):
14.Nationality:
15.Name as it appears on passport or other travel document:
16.Passport number:
17.Country issuing passport:
18.Knowledge of English: Please rate your knowledge in these categories:
Listening/Comprehension
[ ] Poor
[ ] Fair
[ ] Fluent
Reading
[ ] Poor
[ ] Fair
[ ] Fluent
Speaking
[ ] Poor
[ ] Fair
[ ] Fluent
Writing
[ ] Poor
[ ] Fair
[ ] Fluent
19. Do you use English?
[ ] at work
[ ] at home
[ ] other
20. Have you attended any international meetings or workshops (conducted in English).
Please give an example.
B. INSTRUCTIONAL TRACKS
Instructional track applied (Select only one track; the tracks will run in parallel):
[ ] Track 1: Web and Database Management
[ ] Track 2: Using ICT for Advocacy
[ ] Track 3: Local Area Networking
C. TRACK-SPECIFIC QUESTIONS
For All Applicants:
1. Do you have experience in using the following Internet services?
(Please qualify your experience using 0 to 5, 0 means no experience and 5 a lot of expertise)
[ ] Email
[ ] Mailing List
[ ] News Groups
[ ] World Wide Web
[ ] Search engines
[ ] Portals/directory Services
[ ] Other (specify):
2. Describe how you use the Internet in your work, for education, entertainment, communication
and for other purposes.
3. What type of information and communication services do your organization run and what role
do you play in these services?
a. Information dissemination
[ ] Administration
[ ] Implementation
[ ] Support
b. Publication
[ ] Administration
[ ] Implementation
[ ] Support
c. Repackaging of information
[ ] Administration
[ ] Implementation
[ ] Support
d. Information and reference service
[ ] Administration
[ ] Implementation
[ ] Support
e. Documentation and Library Service
[ ] Administration
[ ] Implementation
[ ] Support
f. Others, please specify
For Applicants to Track 1: Web and Database Management
1. Does your organization have a Website? If yes, what is its URL?
2. What role do you play in running your organisation's Website?
[ ] Write HTML
[ ] Provide information on a Web server maintained by others
[ ] Write materials for the Website
[ ] Edit materials for the Website
[ ] Create Graphics for Website
[ ] Create Multimedia materials for Website
[ ] Set up, run and maintain Web servers
[ ] Web Programming
[ ] Helping Website Users
[ ] Answering Users' Queries
[ ] Others, please specify
3. What role do you play in your organization's information and communication work?
a. writing/editorial for publication/newsletter
[ ] Administration
[ ] Implementation
[ ] Support
b. graphic design/layout for publication/newsletter
[ ] Administration
[ ] Implementation
[ ] Support
c. media work such as radio/video
[ ] Administration
[ ] Implementation
[ ] Support
d. public and media relations
[ ] Administration
[ ] Implementation
[ ] Support
e. information dissemination
[ ] Administration
[ ] Implementation
[ ] Support
f. Others, please specify
4. Does your organization have a Database?
5. What type of Database does your organization have?
6. What role do you play in maintaining your organisation's Database?
[ ] Data Preparations/Indexing
[ ] Data Entry/Encoding
[ ] Maintaining Database and Database Server
[ ] Helping Database Users
[ ] Designing Database
[ ] Database Programming
[ ] Other (specify) :
7. What Database Managament Application Does Your Organisation Use?
8. What Database Managament Application are your familiar with?
For Applicants to Track 2: Using ICT for Advocacy
1. Do you have experience participating and/or maintaining mailing lists?
[ ] subscribing to a mailing list
[ ] participating in an online discussion group
[ ] facilitating an online discussion group
[ ] running/maintaining a mailing list
[ ] others, please specify
2. Does your organization run electronic mailing lists or discussion lists?
If yes, what's the name of the mailing/discussion lists and describe its objectives
and user/membership base?
3. What is your role in running your organisation's mailing/discussion lists
[ ] providing information for posting
[ ] leading/facilitating the discussion lists
[ ] managing the membership of the lists
[ ] others, please specify
4. In 3-4 paragraphs, describe your organization's policy and advocacy work and
your role in these acitivites?
For Applicants to Track 3: Local Area Networking
1. Does your organisation have a local area network?
If yes, what type of LAN is it?
[ ] Peer-to-Peer network
[ ] Client-Server network
2. How does your organization access the Internet?
[ ] dial-up modem
[ ] dedicated dial-up via modem
[ ] DSL
[ ] Cable
[ ] Lease Line
3. What role do you play in maintaining your organisation's LAN?
[ ] Supporting/Assisting users
[ ] Installation of PC workstations
[ ] Troubleshooting and Preventive Maintenance
[ ] In-charge of Hardware and Software Purchases
[ ] Installation of Softwares
[ ] Installation of Cabling
[ ] Managing Servers
[ ] Others, please specificy
4. Do you have experience in any of the following:
[ ] Installing Microsoft Windows Operating System
[ ] Installing Linux Operating System
[ ] Installing Dial-up Connection on a PC
[ ] Installing and Configuring Network Interface Card
[ ] Using UNIX-type interface
5. In 2-3 paragraphs, describe your organization's policy in computer use/access.
D. DESCRIPTION OF ROLE IN ORGANIZATION OR NETWORK's
INFORMATION ACTIVITIES
(YOUR ANSWERS TO THE QUESTIONS BELOW WILL BE USED TO DETERMINE WHETHER TO ADMIT YOU TO
THE WORKSHOP. Please be sure that your information is sufficiently clear, well organized
and adequate for this purpose.)
1. A summary of your relevant educational and professional background.
2. A description of your current employer/organization, your position, your duties and
responsibilities.
3. A brief description of your computing and networking environment
(operating systems, networking software, modems, etc.), including the
connectivity of your organization to the Internet.
3a. Scope of your institution (check all categories that apply):
[ ] Local Community
[ ] National
[ ] Regional
[ ] Sub-regional
[ ] Global
[ ] Others, plase specify
4. Does your organization use information and communication technology? How?
5. In what way is the Internet useful for you and your organization?
In 2-3 paragraphs, please describe your organization's plans vis-a-vis the use
of information and communication technology (Internet services, database) in its
information, networking and advocacy activities.
6. What role do you play in your organization information and communication strategy?
7. How you expect to use the knowledge you gain at the workshop.
Please answer in 3-4 paragraphs.
8. Have you previously attended Internet-related training?
[ ] Yes
[ ] No
If yes,
9a. Year and type of training:
9b. Did you find it useful? In what way?
E. FINANCIAL INFORMATION
You MUST fill out the following financial information. Participants are required
to pay US$300 registration fee to cover a portion of the actual training cost.
AWORC has been able to raise funds to support international travel cost for a limited
number of participants. We encourage interested applicants to raise part or all of
the international travel cost.
1. Will you be able to provide your own airfare?
[ ] Yes
[ ] No
2. Will you be applying for scholarship/subsidy?
[ ] Yes
[ ] No
3.List the agencies where you are requesting financial aid, how much, and when you
exepect them to reply.
Agency Requested Amount Date
U.S.$
F. HOW TO APPLY
APPLICATION CAN BE DONE VIA EMAIL, FAX OR POST.
1. If applying by ELECTRONIC MAIL, copy and paste the questionnaire on your
email message.
***Please use plain text, no attachments.***
The "Subject" line of the message should contain your surname or family name
in the following format:
Subject: WENT2002 Application: last-name, first-name
Applications submitted electronically should be sent to:
went-apply@womenshub.net
2. If applying by FAX or POST, print and fill up the application form and send to:
Asian Pacific Women's Information and Network Center
Sookmyung Women's University
53-12 Chungpa-Dong 2-Ka,
Youngsan-Ku, Seoul, 140-742, Korea
Attn: WENT2002 APPLY
Tel. No: +82-2-710-9886, 9687
Fax No: +82-2-710-9689
For more information, write to: went-info@womenshub.net
