Regional Alumni Conference – Latin America 2023 Application Form

Personal Information

Name Prefix *

(Ms. Mr., Mrs.)

Name *

First

Last

Gender *

Female
Male
Gender diverse
Prefer not to say

Date of Birth *

First Citizenship *

Second Citizenship

(if applicable)

Academic Title or Rank

Are you an IACA alumna/alumnus? *

Please note that applications from non-IACA Alumni from the region will not be considered

Please indicate the IACA programme(s) in which you participated

Contact Information

Country/jurisdiction of residence *

Address 1 *

Address 2

Postal Code *

City *

Primary Phone Number *

Secondary Phone Number

Primary Email Address *

Confirm Email

Secondary Email Address

Confirm Email

Current Employment Information

Field of Employment

Academia
Civil Society Organization
International Organization
Pension
Private Sector
Public Service
Sabbatical Leave
Self-employed
Student
Other

If you selected “Other”

Job title/Position *

Employer Name *

Employer Address 1

Employer Address 2

Employer Postal Code

Employer City

Employer Official Email Address

Confirm Email

Employer Country

What is your preferred language for the training

Languages *

English
Spanish
Portuguese

(Common European Framework of Reference)

Oportunities

Alumni Speaker

IACA will provide opportunities to four (4) speakers from the alumni regional network to make presentations on anti-corruption, compliance, and Collective Action initiatives they are involved in. In order to be selected as a speaker, please submit along with your application a summary of presentation and topic (not more than one page) including: • Brief description of the anti-corruption, compliance, and/or Collective Action initiative • Objectives of the presentation • Contents of the presentation • Main takeaways for the audience

Are you applying for grant and speaker oportunity?

If yes submit here the summary report

Click or drag a file to this area to upload.

(Word document), 750 words

Upload Application Documents

1. Copy of the information page of the passport 2. Color Photo (in JPEG format – 150 dpi, maximum size 3 MB) 3. Curriculum vitae – optional

The application must contain the following documents (PDF, .jpg) *

Click or drag files to this area to upload. You can upload up to 3 files.

1. Copy of the information page of the passport 2. Color Photo (in JPEG format – 150 dpi, maximum size 3 MB) 3. Curriculum vitae – optional

Declaration of Consent

Thank you for completing your application. Before you submit your application, we would like to ask for your consent on the following matters:

I hereby certify that the above information is accurate
I have read and accepted IACA's Privacy Policy.

IACA will process the applicant's personal data in accordance with IACA's Privacy Policy.