Mosaic Workshop Registration Form
Please mail your cheque at: 705 Roosevelt Ave. Ottawa, Canada, K2A 2A8 or fax at (613) 728-1154. Certified cheques or money orders are required outside of North America.
Please register the following participant for the workshop. Each participant is registered separately.
In response to requests by participants, some workshops are scheduled back-to-back so that participants can attend more than one workshop. You may check more than one box below if you are attending more than one workshop.
Please BE SURE to indicate which workshop(s) you are registering for!Top of Form
2018 Workshops:
July 16-21, 2018 - Participatory Monitoring and Evaluation with 2 day Community Practicum held at the University of Ottawa
July23-25, 2018- Advanced RBM Workshop held at the University of Ottawa
February 11-16, 2019 Stakeholder Engagement & Participation in Planning, Monitoring and Evaluation in Tepoztlan, Mexico
Name:
Title:
Organization:
Address:
City:
Province/State:
Postal/Zip Code:
Country:
Tel:
Fax:
E-mail address:
Do you need a visa to enter Canada? If so, we will prepare an invitation letter and send it to you via fax.
Yes No
Please answer the following questions:
Use extra space at the end of the registration form if necessary.
1. Given what you know of the workshop, what expectations do you have?
2. What topics, issues or concerns would you like to see addressed during this workshop?
3. Could you please tell us how you heard about the workshops organized by Mosaic.net International?
Contract between Mosaic.net and Workshop Participant for the PM&E Workshop
Because I want to fully experience this workshop I am aware of and fully committed to residing with the team during the community assignment in Ottawa, Canada for the Participatory Monitoring and Evaluation Workshop. I understand that reservations will be made by Mosaic.net and paid by the participant. (Average cost is $60.00 per night per person for shared accommodations.)
Please type in your name to indicate that you agree with the above contract:
Participants are encouraged to bring copies of articles, reports or brochures of their work or organization to share with others.
Registration Fees
Registration Fees for 2018 Workshops:
Workshop fees are in USD except for Canadians who may mail us a cheque in CAD.
1. □ July 16-21, 2018:Participatory Monitoring & Evaluation Workshop
2. □ July 23-25, 2018:Advanced Results-based Management Workshop: $ 1195
Participatory Monitoring & Evaluation Workshop * / Fee / Early Bird Registration till May 31, 2017Govt, UN System, Multinationals / $ 1650 / $ 1595
NGO/Consultant Rate / $ 1450 / $ 1375
Full-time student with proof of registration / $ 1295 / $ 1275
* Includes binder of workshop materials, coffee and tea and snacks.
3. □ February 11-16, 2019 Stakeholder Engagement and Participation Workshop in Tepoztlan, Mexico.
Registration Fees:
Please note that we expect a full workshop so to avoid disappointment, do not procrastinate. To guarantee your space, make a deposit of $ USD 350.00 as soon as possible. The remaining balance is due one month prior to the workshop!
- UN, international institutions, and Government: USD $1995
- International NGOs, academics, private sector: USD $1695
- Local NGOs and private sector, full time students from the North: USD $1150
(must provide proof of full-time student status)
- Full time Students from the South: USD $845.00 (must provide proof of full time student status)
**The workshop fee includes: Accommodations for 6 days and meals from Sunday afternoon-Saturday except during the community assignment, a binder of tools and resource materials, snacks and coffee.
To avoid disappointment, we urge you not to procrastinate. The workshops fill up quickly.
Please make certified cheque or international money order payable to Mosaic.net International, Inc. and send to Mosaic.net International, Inc., 705 Roosevelt Ave. Ottawa, K2A 2A8, Canada. Please indicate on your cheque which session you plan to attend and the name of the workshop participant.
Cancellation Policy
Should you be unavailable to attend, a full and prompt refund, less $350.00 (administrative charge) will be made for cancellations received in writing two weeks in advance. Should you cancel within two weeks of the workshop; a charge of $350.00 will apply. Cancellations receives one week prior to the workshop are forfeited. There is a $75 wire transfer fee on all reimbursements sent by wire transfer. However, a substitute participant is always welcome at no charge. If Mosaic is obliged to cancel the workshop for any reasons, liability is limited to reimbursement of workshop fees.
We look forward to your participation!Bottom of Form