Application for IGA- WB Fellowship Opportunity

Application for IGA- WB Fellowship Opportunity
For the short course: “Reducing Drilling Risk from Exploration to Field Management”
(17–19 April 2015, Melbourne, Australia)
Conditions of the Fellowship are:
1. The fellow attends the three day short course “Reducing Drilling Risk from Exploration
to Field Management”
2. The fellow is not accepted as fellow in the general WGC2015 fellowship program.
3. The fellow is citizen of a low/middle (lower, upper) income country according to the
World Bank country classification1.
Classification
Low income
Lower middle income
Upper middle income
High income
Income (GNI per capita, 2013)
$1,045 or less
$1,045 to $4,125
$4,125 to $12,746
$12,746 or more
The fellowship includes up to USD 2.000 as lump sum to each fellow in cash during the onsite
registration at the registration desk. There will be no other or additional payments. The
accepted fellows do not need to pay any participation fees for the short course. The accepted
fellows have not to register using the registration forms for the congress- short courses. The
course registration for accepted fellows will be automatic through the IGA.
1
Click here to view the countries eligible for a Category A registration. Click here to view countries eligible for Category B
registration.For more information please visit the World Bank country classification site or visit the country classifications
section of the knowledge base.
Application
Please submit this form and an additional application letter via Email to the IGA Secretariat
(iga@hs-bochum.de) by 31 January 2015. A CV in addition is appreciated and helps to select
candidates.
The application letter should contain the following information:
a) Your position and main work in your company/ institution,
b) Your relation to geothermal issues, and
c) Reasons for attending the short course.
Application Form to be filled in:
First Name
Family Name
Email Address
Company
Name of reference
person
University/ Institute/
Affiliation
Street Address
Extra Address Line
(optional)
City
State
Zip
Country of residence
Nationality by birth
Phone
Fax
Alternative Email
address
IGA member?
Yes
No
Member of national
geothermal association?
Which one?
Do you receive any partial support to attend the WGC2015 or a short course from other sources?
Yes ____
No ____
If yes, amount in USD: _________