Alumni

Personal update form

---------- THIS IS NOT AN APPLICATION FORM! ---------- for application form for future courses click here (.doc), here (.rtf) or here (.pdf) You have participated in one of the courses of RNTC? And (some of) your personal data (employer, address, e-mail) changed? If so, please fill in the following questionnaire.
RNTC Alumni Questionaire
First name
Family name
Name during course
Year of course
Name of course
Home address (number, street, state, country, zip code)
Personal PO Box
Male
Female
Date of birth	(day/month/year)
Reason update? (What has changed? Address, work?)
Present title
Present profession
Home telephone number
Personal e-mail	(required)
Personal URL
Employer while attending RNTC course/project:
Name (broadcast) organisation
Address (broadcast) organisation
Abbreviation (broadcast) organisation
Freelance	Yes
or
Present employer:
Name (broadcast) organisation
Abbreviation present (broadcast) organisation
Full visiting address
P.O. Box
Phone number(s)
Fax number(s)
e-Mail
URL
Type organisation of present employer:
	Governmental
	semi-Governmental
	non-Governmental/Private organisation
	Educational institute
	Other :
Languages
Native tongue
English excellent good average poor French excellent good average poor Spanish excellent good average poor Portuguese excellent good average poor German excellent good average poor
Other languages
Other language 1: excellent good average poor Other language 2: excellent good average poor Other language 3: excellent good average poor Other language 4: excellent good average poor
Educational level
	Certificate
	Master's
	Bachelor's
	Ph. D
Interest	Professional interest in						Professional experience in
	News & current affairs						News & current affairs
	Educational programme production						Educational programme production
	Broadcast drama						Broadcast drama
	Training						Training
	Development issues						Development issues
	Community media						Community media
	Good governance/democratisation/human rights						Good governance/democratisation/human rights
	Youth & children						Youth & children
	Health						Health
	Environment/ecology						Environment/ecology
	Other:						Other:
Remarks & suggestions:
	Thank you very much for your help!
	Radio Nederland Training Centre