application form

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Short Training Initiative KOI-14
“Discovery, Exploration and Exploitation of Free Data and Tools for
supporting the Adaptation of Agriculture and Forestry to Climate
Change”
APPLICATION FORM
Personal data
Name:
Surname:
Sex:
Date of Birth:
Nationality:
Country of residence:
Contact address:
Telephone / Fax:
E-mail:
Food restrictions:
Are you linked to programmes/projects of
VLIR-UOS or Belgian development
cooperation?
Have you participated in one of the previous
KOI in Leuven (2005, 2007, 2008, 2009,
2012)?
This application is for:
Participation in full KOI-14 (31-mar to 11apr-2014)
Participation to part of KOI-14
A VLIR-UOS-KOI-scholarship (for full KOI
only)
Yes (Give details) - No
Yes (Specify year) – No
2005
2007
2008
2009
2012
Yes - No
Yes – No
Specify dates
Yes - No
Will you bring your own laptop?
If yes, which operation system has your
computer?
Yes - No
Window XP
Windows 7
Windows 8
Other (please specify)
Educational antecedents
Highest diploma obtained (Give details):
From which institution, country:
In which year?
Other relevant diplomas obtained:
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Current occupation (Choose and give details)
Student (specify programme, institution)
Researcher (specify research theme and
level (MSc. PhD, …), institution)
Teacher / Trainer (specify level and type
of programme, institution)
Employee of government (specify
department and content of job)
Employee of private organisation
(specify type of business and content of
job)
Employee of non-governmental
organisation (specify NGO’s field of
activity and type of job)
Self-employed (specify type of business,
field of activity)
Without employment since DD/MM/YYY
Give other relevant occupation of the
past
Thematic and Technical experience
Which is your thematic domain?
Check and provide details where
appropriate
 Land inventory
 Land evaluation
 Land use planning
 Agriculture, forestry and/or rural
development
 Water management
 Urban management
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Facilities management; Energy
production and distribution
Environmental protection and
management
Climate change
Other (please specify)
What is your technical expertise?
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Check one or more and provide software
used where appropriate
Land survey, GPS
Remote Sensing
Spatial analysis
Spatial data infrastructures
Spatial database management
Other
Expectations
Which skills would you like to acquire ?
Check one or more and add a selfassessment of your knowledge level of the
items you want to learn. Use following
codes: No knowledge (0),Beginner (1),
Practitioner (2), Expert (3), Programmer (4)
 General purpose GIS-software: Quantum
GIS / MapWindow GIS / SAGA
 Relational database management
system software: PostgreSQL/PostGIS
 Image processing software: GRASS /
ILWIS
 Statistical analysis software: R
 Web server software: GeoServer
 Data modelling: Unified Modelling
Language
 Open Linked Data
 Working with sensor webs
 Smartphone applications
 Other (please specify)
I solemnly declare and confirm that the above information is fully true
Done at (Date & Place)
Signature
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