We are looking for water professionals, community leaders, and members from governmental and non-governmental organizations from around the world to be part of a supportive mix of workshop participants. Workshop Application Form If you would like to be considered for admission to the 2015 Water Diplomacy Workshop (held June 22 - 26 in Boston, MA), complete this form (in English) and submit it. You will see a "success" message when your submitted application is received by our system. The starred fields (*) are required. If you are accepted, you will be given further instructions about payment. We will review new applications on a rolling basis beginning in January 2015. The information included in your application is only used for Water Diplomacy Workshop purposes. We do not provide contact lists to outside organizations. Personal and Organizational Details Title Dr., Prof., Mr., Ms., etc First Name * Last Name * Surname or "Family" name Email * Phone Number Organization * you can list more than one Organization's Website Your Title/Role Your Personal Website Are you fluent in English? * Yes No At the Workshop, all the presentations, group work and printed materials will be in English. Mailing Address Street Address * Address Line 2 City * State, Region, or Province as applicable for mail service Country Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Côte d‘Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Northern Mariana Islands Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Yemen Zambia Zimbabwe Other or None. Postal Code Educational and Professional Background Educational and Professional Background (summary) * Provide us with a short summary of the educational and professional experiences that qualify you for the Workshop. This should not be your full resume. You can click-and-drag the lower right hand corner to expand the entry area. Reference In the interest of "training trainers," it is important that a senior decision-maker at your company, group, or organization endorses your application to the Workshop. If you are admitted, this person should be committed to helping you create opportunities to present and re-teach what you learn about water diplomacy to your fellow staff, students, or associates. For example, you two should discuss the possibility of setting aside time for you to present some of the Workshop's key ideas and materials to others. Please list the contact information for a leader at your group or organization with whom you have discussed your application to the Workshop and, if you are accepted, the possible ways you might help improve your organization's capacity for water diplomacy, not just your own. Reference's Name * Reference's Email * Phone Reference's Organizational Title/Role * Reference's Organization * Acknowledgement of Terms We are committed to providing an excellent workshop experience and keeping participant costs as reasonable as possible. Accepted applicants will be presented with a choice of payment options: Workshop + Lodging Option - $3350 Includes all workshop materials and instruction, 5 breakfasts and 5 lunches during the workshop, 2 group dinners, guarantees 6 nights of private hotel room lodging + 7 day MBTA transit pass. We will arrange for your hotel room, and deliver workshop materials to the hotel to be available to you upon check in. We will provide transit and walking directions from the hotel where Workshop participants are staying to the Water Diplomacy Workshop locations. Workshop Only Option - $1950 Includes all workshop materials and instruction, 5 lunches during the workshop, 2 group dinners. Does not include any lodging arrangements or assistance. You will need to arrange for your own lodging, transportation, and directions during the Workshop. You will receive your workshop materials upon registration at the beginning of the workshop week. We will strongly suggest that anyone not familiar with the Boston region select the workshop option that includes lodging. We might not be able to offer the lodging option to participants who apply within 45 days of the workshops start. We can provide additional information and advice to individual accepted applicants prior to payment. Please acknowledge that you understand these terms. * I understand these terms. Additional Info Is there anything else you would like to tell us? How did you hear about the workshop? This answer doesn't affect your application - we are just trying to learn about how people find out about the workshop.