THE AGA KHAN UNIVERSITY HUMAN DEVELOPMENT PROGRAMME APPLICATION FORM

Application Deadline March 30, 2011

Advanced Diploma in Human Development (Early Child Development) Course I Date of Commencement: June 01, 2011 (Please review the application information provided on page 4) 1. Personal Details
Applicants Name: Employer: Gender:
First name Middle names Family name/Surname

Male

Female
Nationality: Fax: Phone:

Date of Birth: (dd/mm/yy) E-Mail: Mailing Address:

Permanent Address:

2. Self-assessment of skills (to assist facilitators preparations and approach)

Very Strong COMPUTER SKILLS a) Word processing - Microsoft Word - Any Other _______________ (please specify) b) Data Analysis software - Excel - SPSS - Any Other _______________ (please specify) c) Tabular and Graphical presentation of data - MS Powerpoint - Any Other ________________ (please specify) d) Using the Internet to search for academic information COMPUTER AND INTERNET ACCESS (For self study and work related project component) a) Do you have access to computers at your workplace b) Do you have access to computers at your home c) Do you have access to internet at [ ] workplace [ ] home If yes, how would you rate the internet connection speed at [ ] workplace [ ] home LANUGAGE SKILLS a) Languages which you can read and understand well b) Languages in which you can express yourself well in speaking c) Languages in which you can express yourself well in writing
Application Form: AKU-HDP Advanced Diploma in Human Development-Course I

Strong

Fair

Weak

Very Weak

Yes [ ] Yes [ ] Yes [ ] Yes [ ]

No [ ] No [ ] No [ ] No [ ]

Excellent [ ] Excellent [ ]

Satisfactory [ ] Poor [ ] Satisfactory [ ] Poor [ ]

Urdu [ Other [ Urdu [ Other [

] English [ ] ] _____________ (specify name) ] English [ ] ] _____________ (specify name)

Urdu [ ] English [ ] Other [ ] _____________ (specify name)

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3. Previous Education including vocational training (Please add a separate sheet if necessary & provide copies
of your educational/training certificates)

Qualification

Major Subjects/Course Title

Name of Institution

Dates of attendance from to

4. Professional Experience (current and up to two previous appointments)

Please add a separate sheet if necessary.

Name of Employer

Address

Major Responsibilities

Year of attendance from to

5. Scholarships, awards and recognition for outstanding achievements

Please add a separate sheet if necessary

Award or Recognition

Awarding Body

Year

6. Publications, presentations at conferences and/or research projects related to human development (Please add a separate sheet if necessary)

7. Applicants interest
a. Explain why you want to acquire the Advanced Diploma in Early Child Development? b. Briefly describe your current activities related to Early Child Development and its benefits to children and their families in your local communities. c. Outline how you believe the advanced diploma may contribute to the development of your programme and/or your career?
(Your response should between 750 850 words. Please address each point requested. Please add a separate sheet if necessary)

Application Form: AKU-HDP Advanced Diploma in Human Development-Course I

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Contd. Applicants interest

8. Employers Endorsement
Employers are requested to endorse support for self-study, work related project and the necessary leave required to attend the components of the Advanced Diploma Programme in Karachi. I confirm that this application has our organizations support. Name & Designation: Signature: Date: Official Stamp:

9. Funding Information (Employer endorsement necessary, if applicable)

Please indicate sources of funding Sources of funds 1. 2. 3. Total: National (Rs.) International (US$)

10. Applicants Undertaking I understand that submission of this application does not guarantee admission and confirm that the information given above is accurate and to the best of my knowledge.
Signature of Applicant: Date:

For Office Use Only Date of application received on _____________ by __________________Application No. _____________
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Application Information
1. Submission of Application The application form, completed in all respects, must be submitted as early as possible and should be postmarked no later than March 30, 2011. Please send your application via regular mail, fax or e-mail to: Regular mail: Aga Khan University Human Development Programme METRO Cash & Carry Pakistan (Pvt) Ltd Mezzanine Floor University Road, Karachi 75300, Pakistan Phone: (92-21) 3210-2189 Fax: (92-21) 3493-4294 E-mail: human.development@aku.edu or sonia.siddiq@aku.edu

2. Admissions Procedure Applications will be evaluated based on the following criteria: A Bachelors degree or professional qualification requiring at least three years of education and training. Statement of Interest outlining the reason for acquiring the Advanced Diploma in ECD and description of your current activities related to Early Child Development Experienced in service for atleast two years related to child care, health, education or development. Employers endorsement and support for in-service education and attendance at seminars held at AKU Sufficient funds for tuition, travel to AKU and subsistence 3. Course Schedule Mode of Study Self-study (Online) Face to Face seminar at AKU, Karachi ECD related project 4. Tuition per course The tuition fee for the course is Rs. 51, 000 for national participants and US$ 1,400 for international participants, including Pakistani citizens living abroad. Fees are payable before the commencement of the course. Details of methods of payment will be sent to successful applicants. 5. Financial Assistance In the event that a selected applicant has insufficient funds after exploring all potential sources, AKU-HDP may provide limited financial assistance in the form of grant/loan to supplement other sources, based on evaluation of merit and the applicants need. A separate financial assistance form will be sent to individuals who wish to apply for assistance. 6. Accommodation Limited, single-occupancy accommodation is available on-campus for women. For men, accommodation is available off-campus at AKU guest house and Rehaish-Inn. Please note that accommodation is subject to availability and rates are subject to change (final rates will be communicated to selected participants at a later date). The cost of accommodation may be estimated as follows: On-campus hostels for Womens Only: Single and Shared Room (US$ 21- 45) per week Off-campus hostels for Mens Only: Rehaish Inn: Single Room (US$ 25-35) per day Shared Room (US$ 31-45) per day AKU Guest House: Single Room (US$ 40-45) per day Duration June 01 July 12, 2011 July 18 30, 2011 August 08 November 15, 2011

7. Visa A Pakistani visa will be necessary for all international participants. An official letter of confirmation of admission will be sent to selected applicants, for submission to the Consulate of Pakistan in their country.

Application Form: AKU-HDP Advanced Diploma in Human Development-Course I

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