Postgraduate diploma in curriculum design and development

Affix two stamp size photographs

POSTGRADUATE DIPLOMA IN CURRICULUM DESIGN AND DEVELOPMENT
APPLICATION FORM

Academic year for which admission is being sought (e.g. 2013-2014) _____________

1. 
   Personal details:
   

Surname/Family name____________________________________________

First name______________________________________________________

Date of birth____________________________________________________

Country of birth_________________________________________________

Nationality_____________________________________________________

Permanent address______________________________________________

Home address__________________________________________________

Phone - Landline___________________ Mobile_______________________

Fax number___________________ E-mail address_____________________

Employment details
Institution (Current Employer)	Position		From	To
Responsibilities (separate sheet may be used)
If you are admitted into the Postgraduate Diploma Programme, do you think your employer will allow you to attend the 10-day face-to-face intensive session at the Tanzania Institute of Education in Dar es Salaam, Tanzania?
Sponsorship Confirmation
How do you intend to finance your studies? (check the box below that applies) Participants or their employers are encouraged to meet training costs. UNESCO organisers may fund some tuition fees (2430 USD, covering the whole study programme except living costs during the face-to-face session). Criteria of selection for tuition sponsorship: government nomination, qualification/admission, and availability of funds.
Self Employer Other(s) Specify:
Name and address of your financial sponsor (if applicable)

2. 
   Qualifications (please enclose transcripts, certificates and curriculum vitae)
   

Degree/Diploma	Institution	Date of study	Degree/Diploma obtained

3. 
   Please indicate names and address of two referees below, and enclose the recommendation letters with your application.
   

1. 
   ____________________________________
   

____________________________________

____________________________________

2. 
   ____________________________________
   

____________________________________

____________________________________

4. 
   Please include the following with this application form:
   

1. 
   Certified transcript and certificates
   
2. 
   CV detailing employment and employment experience
   
3. 
   Two passport-size photographs
   
4. 
   Evidence of sponsorship (or self-sponsorship)
   
5. 
   Letters of recommendation
   

Additional Information	How did you learn about the Postgraduate Diploma Programme? (check all of the boxes that apply)
Advert in brochure Internet search Website(s) Other (please specify) _______________________________

5. 
   Statement of authenticity
   

I hereby declare that all the information supplied is true and no attempt as been made to mislead the Institute’s admissions office. Should any cheating be discovered after admission the Institute reserves the right to nullify the admission.

Signature___________________________________ Date______________________

Send your complete application dossier before October 19, 2013 to:
Ms. Angela R. Katabaro, Director Curriculum Development and Review

Tanzania Institute of Education, Box 35094

Dar es Salaam, Tanzania

E-mail: [e-mail]

Phone : [phone]

Mobile : [phone]

Successful candidates will be informed via their email address, therefore please be sure to include your email address in a legible way.