Form International Trai International Trai International Training Application

OMB 1220-0179 TRAINING APPLICATION 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) 691-5664

E-mail: ITCinfo@bls.gov

http://www.bls.gov/ITC

APPLICANT INFORMATION

SURNAME

GIVEN NAME

DATE

SEX

DATE OF BIRTH

JOB TITLE

Male

Female

Month

Day

Year

DESCRIPTION OF JOB DUTIES

EMPLOYER

MAILING ADDRESS (Street or P.O. Box)

CITY

COUNTRY

TELEPHONE

FAX

E-MAIL

EDUCATION (Highest Degree)

FIELD OF STUDY

Proficient in Reading English?

Proficient in Speaking English?

Proficient in Writing English?

Yes

No

Yes

No

Yes

No

COURSES REQUESTED

Constructing Producer Price Indexes and Import and Export Price Indexes ($_______)

Economic Indicators ($_______)

Constructing Consumer Price Indexes ($_______)

Labor Market Information: Business Establishment Surveys ($_______)

Measuring Productivity ($_______)

Labor Market Information: Household Labor Force Surveys ($_______)

Other ________________________ ($_______)

ACCOMMODATIONS

Please provide me with information about hotel accommodations.

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.

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.