PREQUALIFICATION FORM FOR TRAINER

I. NAME AND PERSONAL INFORMATION
*Title :  
*First Name :    
*Second Name :    
*Third Name :    
*Forth Name :    
Address :
*Date Of Birth :  
*Telephone (Mobile) :      
*Telephone :      
*Email :    
Fax Number :    
*Gender :  
*Nationality :  
*CPR Number :      
*Passport Number :    
Training Center (if applicable):  
Address (Training Center):
Telephone (Training Center):    
Working for any Training Institute :
*Languages :  
Other Languages:  

II. PROFESSIONAL EXPERIENCE
Please cite most recent first:
Please add at least one Professional Experience.


Job Title :    
From Date :    
To Date :    
Employer :    



III. Training Experience
*Average No. of Courses you deliver per year :    
*No. of years training :    
*No. of training years within the 3(three) years:  
Minimal expected Daily Rate : BHD  
Is Negotiable(Daily Rate) :

III.1. TRAINING EXPERIENCE WITH BIPA
Please list the training workshops that you have delivered at BIPA, and your role in the training team (facilitator, lead trainer, co-facilitator, other -specify please).


Course/Training Title :    
Your Role :  
From Date :    
To Date :    
How many times ? :    

III.2. TRAINING EXPERIENCE IN GENERAL (OUTSIDE BIPA)
Please list the most recent training workshops that you have delivered, and your role in the training team (facilitator, lead trainer, co-facilitator, other -specify please). Also indicate other programs/courses you are qualified in and plan to deliver:
Please add at least one General Experience(Outside BIPA).


Course/Training Title :  
Country of Delivery :  
How many times :    
From Date :    
To Date :    
Your Role :  
Level of Participants :  
No. of Participants :    

III.3. FIELD OF EXPERTISE IN TRAINING
 








No of years :  
No of Training days within the 3 years of a specific field :  

III.4. TRAIN THE TRAINER COURSES
Please list 5 most recent "train the trainer" workshops that you have attended. Also attach the related Certificates.


Course Title :  
Duration :  
Tainer Name :  
Delivered by (Organization) :  
Country of Delivery :    
From :    
To :    
No Of Days :    
No Of Hours per day :    
Attach Certificate :    

V. REFERENCES, DEGREES & CERTIFICATES

V.I. REFERENCES
Please cite a reference person`s name and Contact No of the courses delivered (BIPA reserves the right to contact a reference person without furthur approval) :
Please add at least one Reference.


Reference Name :  
Position :    
Organization Name :  
Phone :    
   
Email :    

V.2. ACADEMIC DEGREES
Please list most recent first :
Please add at least one Degree.


Degree Type :  
Degree Name :  
Issued By :  
Year of Issuance :      
Country :  
Attach Degree Certificate :    

V.3. PROFESSIONAL QUALIFICATION
Please list most recent first and indicate those related to training:
Please add at least one Professional Qualification Details.


Certificates/Award :  
Issued By :  
Year of Issuance :      
Country :  
Attach Qualification Certificate :    
Training Related :
Please attach any supporting document related to the above mentioned Desgrees & Certificates

VI. INFORMATION QUESTIONNAIRE
 
Please provide as much details as possible while answering the following questions: limit your answer to the quadrant below:
 
*Quality of Training
- Discuss how you promote high quality in your training. Be specific about your approach to evaluating the effectiveness of your training.
 
 
*Program delivery
- Outline how you deliver learning programs. Be specific about methods that incorporate interactive teaching, increase learner’s enjoyment and self-motivation, ability to collaborate, and ability to reflect critically the course intake for improvement, methods used to verify learner’s understanding during the training.
 
 
*Assessment
- Outline your approach to assessment of learning (include assessments for the 3 stages: pre-training, during the training and post training).
 
 
*Observation of training
- Please propose an ongoing training that you are presenting (including date, time and subject) that the BIPA selection committee can observe if it so desires.
 
 
- Do you agree to present a sample Training Session to BIPA Committee ?
 
*Design & Development
- Indicate how you Design/Develop Quality Training!
 
 

VII. Upload Neccessary Documents
 
Please provide the following documents:
 
*Upload Trainer Picture :    
*Upload Trainer CV/Resume :    
*Upload Acceptance Letter from the working Company :