DBC Workshop 2021 - Application Form

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Applications for the upcoming workshop in March and April are closed, but you may express interest for an upcoming workshop.

ABOUT THE WORKSHOP
Designing for Behaviour Change is a 7.5-hour online workshop that equips learners with a basic understanding of the essential skills and knowledge to design interventions that promote positive changes in people’s behaviour.

More information can be found on rebrand.ly/DBCBrochure.

Mentoring will also be offered to participants who wish to design and implement a behaviour change project following the workshop.

TARGET PARTICIPANTS
The upcoming series of workshops is targeted as youth (15-35) from Southeast Asia, as part of our funding support from National Youth Council (Singapore). We are looking for 25 youth from Southeast Asia who demonstrate commitment, passion towards social and/or environmental causes, willingness to undergo training on basic behaviour change theories and tools. Others are also welcome to attend if space is available.

SUGGESTED FEE
USD 120

Youth from Southeast Asia and nonprofits are welcome to 'pay what you can'. Others are requested to pay the full fee but subsidies can be considered on a case-by-case basis.

QUESTIONS?
Email bclab@washinseasia.org.

Email *

Full Name *

Preferred Name *

What should we call you?

Contact details *

How should we contact you if we need to reach you urgently or if there are issues sending email? We use email by default.

Age *

Priority will be given to youth aged 15 to 35 years old

Gender (optional)

Nationality *

Priority will be given to applicants from Southeast Asia

Country of residence *

Which of the following applies to you? *

Check all that apply

I am a student

I work in the private sector

I work for a government agency, or in a related occupation

I work in the non-governmental or non-profit sector, or in a related occupation

I volunteer with a social or environmental cause

Unemployed

Other:

Required

Organisation/Institution (optional)

If you are a student, indicate the institution you are studying at

Position/Job Title (optional)

Why do you wish to participate in the DBC Workshop? How do you plan to apply what you learn at the workshop? *

Which run of the workshop are you able to attend? *

Please consider my application for a future workshop

Required

I am able to use Zoom to participate in the workshop *

Yes

No. Unfortunately the workshop will be run on Zoom, but we will consider other options for future workshops if many interested participants are not able to use Zoom

I am able to use a laptop/computer to participate in the workshop *

Yes

No, I only have a smartphone/tablet. It may be difficult for you if you do not have a computer, but we will try our best to support you.

I am able to use English well enough to participate in the workshop *

You must be able to comfortably listen to presentations and participate in discussions.

Yes

No. Sorry :( We hope to be able to offer the workshop in other languages in future.

Please describe any health conditions or disabilities that we should be aware of

We will do our best to ensure that our workshop is suitable for you. Otherwise, we will work with you to develop suitable arrangements.

In order to receive a Certificate of Completion, the selected participant has to do their best to 1) attend the full duration of the two sessions, 2) complete the assignments and assessments, and 3) complete the feedback form. Not accomplishing all the tasks prevents you from receiving the certificate. Do you understand and agree on the terms? *

Yes

No, I wish to withdraw my application

At this stage, are you considering getting mentoring from our facilitators to implement a behaviour change project? *

Yes

Maybe

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