Participants' data for GLOW

 

Hello,

 

This questionnaire allows you to share with us your personal information, such as passport information, emergency contact details, your preferences for food, language and social events and any special needs you may have, etc. Such information is essential to ensure for smooth processing of visa and travel needs and other logistical, programme and social arrangements.

 

The questionnaire is divided into four parts: Personal Data, Share Fair, Facilitation and Social Events/Special needs, each asking for information relevant for that purpose. Questions marked with asterisks (*) before them are mandatory to be filled. You cannot submit your response if you don’t answer all of them.

 

Please take care to fill your personal information correctly to avoid problems later due to wrong information.

 

Thank you for filling the questionnaire and helping us to make GLOW 2005 a success!

 

If you have any questions or need any assistance in completing the Questionnaire, please contact Robert Toé at robert.toe@unvolunteers.org

 

Participants'data for GLOW            

 

Questions marked with an asterisk (*) are mandatory.      

           

Personal Data

 

1. * Please give below your personal data. For the last name and first names, they should appear as they are written in the passport.

 

·          Last Name(s) (as in passport):  

·          First Name(s) (as in passport):  

·          Nationality :         

·          Date of birth:       

·          Place of birth:      

·          Gender:     

·          Section or Country Office:         

·          Country of present residence:    

·          Functional tiltle     

2. * Personnal data cont. 

 

·          Telephone number:    

·          Email address:           

·          Passport number:       

·          Date of issue:           

·          Date of expiry:          

·          Place of issue:          

·          Nearest city / airport of departure    

 

3. Personnal data cont. (optional)

 

·          Mobile number:          

·          Fax number:    

·          Blood type:     

 

4. * What is the operational section you report to?

 

5. Participants may be required to share rooms. Do you have preference for a particular room mate? If yes give his/her details below 

 

 

6. Details of your room mate

 

• Last name:     
• First name:     
• Duty station:  

 

7. Language proficiency 

                     

1 Fluent        2 working level         3 Basic

 

·          English

·          French

·          Spanish

 

8. Language preference for working during the workshop and for communication (choose more than one if applicable) 

 

·          English

·          French

·          Spanish

 

Share Fair

 

9. Would you like to join the share fair team and contribute to the planning and organizing? 

 

10. For your participation in the Share Fair event in May, to which MDG will your team’s best practice most likely relate to (see introductory message for explanation on the MDGs)? 

 

11. Do you have any special/technical requirements for your exhibition? Please specify.

 

Facilitation

 

12. Would you like to be a facilitator during the GLOW? If you answer "No" go directly to question 19 

 

13. What is your experience in facilitating or training? 

 

·          Less than 5 years

·          6 to 10 years

·          More than 10 years

 

14. What is the size of groups facilitated? 

 

·          Less than 10

·          11 to 50

·          More than 50

 

15. What are the type of groups facilitated? 

 

·          Community group

·          Formal meeting

·          Retreat

·          Multi-cultural group

·          Other, Please Specify

                     

16. What were the languages used during your facilitation? 

 

·          English

·          French

·          Spanish

 

17. What are some participatory methods you are familiar with?

 

18. Points A to C could be topics included in a facilitation course designed for the facilitators of GLOW? Please rate each one of them on a scale of 1 to 4 

                               

1 Not a priority         2 Not so important    3 Important    4 Very important

 

1. Theory of adult education, participatory training and learning styles
2. Practical skills for facilitating (suggestions and tips) 
3. Practicing the actual sessions
4. Other (please specify)

 

Social events

           

19. Would you like to participate in a UNV talent evening during GLOW '05? 

 

20. Would you like to participate in a cultural evening during GLOW '05? 

 

21. If yes, are you a performing artist? 

 

·          dance

·          Instrumental music

·          Singing

·          Comedy

·          Other, Please Specify

 

22. If selected "instrumental music", what kind of instrument do you play? 

 

·          Guitar

·          Keyboards

·          Drums

·          Other, Please Specify

 

23. Do you have your own instrument and will you bring it with you to GLOW '05? 

           

24. Would you like to participate in an organised sports evening? 

           

25. If yes, what sport do you play? 

 

·          football

·          volleyball

·          table tennis

·          Table top sports

·          Other, Please Specify

 

26. Are you a biker/walker 

 

27. If yes, would you like to go for a trail ride/walk during GLOW '05

 

28. Which of the following conducted tours/trips would you like to take part in?

 

·          Museums

·          Traditional German cities

·          Shopping centres

·          Wineries

·          Other, Please Specify

 

 Specific requirements

 

29. Would you like to have prayer room facilities? 

           

30. If you have any specific religious preference/requirement, please mention it here

           

31. * How would you like to receive information about GLOW'05 preparation? 

 

·          Through email

·          On GLOWeb (Site)

·          By fax

 

32.  * What are your food preference? 

 

·          Vegetarian (excluding eggs)

·          Vegetarian (including eggs)

·          Non-vegetarian

·          Other, Please Specify

           

33. * Do you have any medical allergy? 

           

34. If yes, please specify what are the causes of your allergy

           

35. * Name, address, email (when available), telephone number of person (s)(Could be someone in you home country or duty station) to be contacted in case of emergency

 

36. If you have any other special requirement (i.e., wheelchairs, special medicines, etc), please mention it here