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					                                                                 Asia-Pacific ASPnet Good Practice
                                                                         Development Project 2009


                                      APPLICATION
                        Please complete the next 3 pages of application form,
            then e-mail and fax your application (both digital and hard-copy) with the other
               requested materials to your country’s national commission for UNESCO
                                           by 20 May 2009.
               For more information, please refer to “Guideline_ASPnet Good Practice”



 Personal Information              (In case of a school project, please notify the name of the principal)

 Name          (family name in capital letters)

 Title         [Ms/Mr./Dr.]            Nationality

 Date of Birth                                                           [dd/mm/yy]             Photo

 Affiliation

 Position

                                Address

                    Office
                                 Phone                                    Fax

                                 E-mail

    Contact                     Address

                                 Phone                                    Fax
                    Home
                                 Mobile      `

                                 E-mail

 Field of specialization

 Years of field experience



 Recommended by National Commission for UNESCO

 Name                                                                                        Signature

 Position

Note: Application signed by Secretary-General or ASPnet National Coordinator of NatCom concerned should
be sent to KNCU with cover letter which indicates a priority list evaluated by the NatCom.

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                                                                   Asia-Pacific ASPnet Good Practice
                                                                           Development Project 2009



Description of the project                         * Please add further space if necessary

Title

Initiator of
project
Project        How long has is it been in operation (duration of the project)?
history




Objectives




               Please check () items applicable to your project.
               ESD sub-themes
               Social Sector                      Environmental Sector                Economic Sector
                Human rights                      Natural resources                  Sustainable
                                                                                      production and
                                                                                      consumption
                Peace and equity                  Renewable energy                   Sustainability of
                                                                                      corporations
           Cultural diversity                     Climate change                     Poverty reduction
Sub-       Social justice                         Biodiversity                       Narrowing the gap
theme(s)                                                                              between the rich and
&                                                                                     poor
Engageme
           Health (HIV/AIDS,                      Waste reclamation
nt in ESD
and MDGs  malaria)
           Learning for indigenous                Sustainable food production
          knowledge, integrating
          traditional and modern
          technologies
           Gender equality                        Sustainable village/city
                Literacy                          Prevention and reduction of
                                                  disasters
                                                   Sustainable transportation
                                                   Sustainable urbanization

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                                                                   Asia-Pacific ASPnet Good Practice
                                                                           Development Project 2009

             Please check() which goal(s) of the following MDGs is/are relevant to your project

             Millennium Development Goals
              1. Eradicate Extreme Poverty and Hunger
              2. Achieve Universal Primary Education
              3. Promote Gender Equality and Empower Women
              4. Reduce Child Mortality
              5. Improve Maternal Health
              6. Combat HIV/AIDS, Malaria, and Other Diseases
              7. Ensure Environmental Sustainability
              8. Develop a Global Partnership for Development
             * Please briefly describe how your project is linked to ESD and MDGs.




             What kind of activities for the basis of the project?

              Classroom activities              School climate            Community-based programme

             (Please illustrate the main activities in detail that best describe your project)
              -   Resources (human, financial, educational) for the success of your project
              -   Time length of the activity, Participants, Location, Target group, Partners, Impact on students



Main
activities




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                                                               Asia-Pacific ASPnet Good Practice
                                                                       Development Project 2009

            * Please explain how the project will influence students, school staffs and teachers, parents, and
            local community.
Expected
Outcomes




Photos      Please submit at least 2-3 photos (maximum 5) showing the project’s activities.

                   1. Did you know about ESD and MDGs before applying for this project?
                       ( Yes___      No___ ),
                    - if yes, since when and how did you know?
Survey
questions




  Enclosed: 1. Resume
           2. Good Practice Photos




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