Form 2010 Training Appl 2010 Training Appl 2010 Training Application

Approved for use through 02/28/2010. OMB 1220-0179 2010 TRAINING APPLICATION Brian E. Graf, Chief, Division of International Technical Cooperation, U.S. Bureau of Labor Statistics Room 2190, 2 Massachusetts Avenue, NE, Washington, DC 20212-0001

Telephone: (202) 691-5666

Fax: (202) 691-7900

E-mail: [email protected]

http://www.bls.gov/itc

APPLICANT INFORMATION

SURNAME

GIVEN NAME

DATE

SEX

DATE OF BIRTH

PLACE OF BIRTH

PASSPORT

Male

Female

Month

Day

Year

City

Country

Number

Country

EDUCATION (Highest Degree)

FIELD OF STUDY

JOB TITLE AND DESCRIPTION OF JOB DUTIES

EMPLOYER

MAILING ADDRESS (Street or P.O. Box)

CITY

COUNTRY

TELEPHONE

FAX

E-MAIL

Proficient in Reading English?

Proficient in Speaking English?

Proficient in Writing English?

Yes

No

Yes

No

Yes

No

Interpretation Requested: NO YES, in this language: _________________________________________________________ _________________________________________

Note: The average cost of interpretation is $600 per day. You will be notified of the specific cost for the language you requested.

COURSES REQUESTED

Economic Indicators ($3,330) April 12 – 23, 2010

Constructing Price Indexes ($5,895) August 2 – 20, 2010

Labor Market Information ($3,330) May 3 – 14, 2010

A dvanced Topics: Price Indexes ($1,665) August 23 – 27, 2010

Measuring Productivity ($2,997) June 1 – 11, 2010

Employment and Unemployment Statistics ($5,562) September 7 – 24, 2010

Survey Methods ($1,665) June 14 – 18, 2010

Projecting Tomorrow’s Workforce Needs ($2,997) October 12 – 22, 2010

W ages, Earnings, and Benefits ($3,330) July 12 – 23, 2010

Analyzing Labor Statistics ($2,997) November 1– 12, 2010

Customized Program - Specify the topic(s) and preferred dates: ________________________________________________________________________________________________________

ACCOMODATIONS

Yes, reserve hotel accommodations for me. (Requires flight arrival information 2 weeks prior to seminar.)

No, I will arrange my own accommodations.

FINANCIAL SPONSOR INFORMATION

I have not yet started to seek financial sponsorship.

Financial sponsorship has been requested from the following organization: _____________________________________________ ________________________________________________

Financial sponsorship has been granted by: ______________________________________________________________________

NOTE: Sponsor must complete the BLS Training Payment Agreement. plete

This collection of information is authorized by Title 29 of the United States Code. Providing the information on this form is voluntary. The information you provide will be used to register you for training and for other administrative purposes. We estimate that it will take an average of 20 minutes to complete this form. If you have any comments regarding this estimate or any other aspect of the form, including suggestions for reducing the time needed to respond, send them to the Bureau of Labor Statistics, Division of International Technical Cooperation, 2 Massachusetts Avenue, N.E., Room 2190, Washington, DC 20212 USA. You are not required to respond to the collection of information unless it displays a currently valid OMB control number.