Give your full name- First, middle and last

Birth date

Enter your email address

Enter your home address

Street                              City                             Province

Haiti WI

P.O.Box (Not acceptable)

Education: level completed

High school (Rheto or Philo)     School name    University 

What is your major

Name of the university (if applicable)

Phone number

Current Employer

How did you hear about the event ?

Give the names and phone number of 3 people that we can use as your reference

Enter this code  1468902

I understand this is an application to participate in a seminar about project management that will be held in Haiti this Fall. If we approve your application, you will receive a notification by email and a registration number.