For Official Use FormTR1 Ref. No: _______________ Date: _______________ EXPRESSION OF INTEREST IN OBTAINING FUNDS FROM THE SMALL STATES NETWORK FOR ECONOMIC DEVELOPMENT FOR ORGANISING A TRAINING WORKSHOP 1. Proposed area/sector of the workshop 2. Proposed workshop name 3. Proposed beneficiary institution (institution that will coordinate the workshop) (a) Name of contact person (b) Name of institution (c) Address (d) Tel and fax numbers (e) Email address 4. Main objectives of project 5. Target participants (indicating the likely number of funded participants) 6. Proposed dates of the workshop, indicating number of days 7. Other comments (optional) 8. Details of applicant Signature of person filling form: ________________________ Date:_________________________ Title, Name and surname:____________________________________________________________ Position:____________________________ Institution:_____________________________________ Tel: _____________________ Fax_____________________Email:___________________________ This is an outline application for a project intended for capacity building in the beneficiary state. If the SSNED is in agreement in principle with this outline request, the potential beneficiary state will be required to fill a more detailed Training Workshop Request Form available at http://www.ssned.org/twrp . Further information about requests for funding training workshops can be obtained from the Administrator of the SSNED at http://www.ssned.org/contact . 1