Application for PREVENT: Mitigating Flood Risk for Cultural Heritage

Application Form

PREVENT: Mitigating Flood Risk for Heritage
Before you apply, please ensure you meet the following requirements:
- A joint application with at least one representative from the relevant local disaster risk management agency, climate science, and civil protection responsible for managing risks at the chosen heritage place.
- A heritage institution or site to improve flood risk mitigation and preparedness.
To be produced upon selection:
- A letter of permission to work on-site and implement flood risk management measures at the site.
Personal Data
Lead Applicant
Name *

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Gender*
Phone Number
Please enter a valid phone number.
Email*

Confirmation Emailexample@example.com
Educational background *
Name of institution*
Present occupation and everyday professional responsibilities*
Relevant professional courses (including ICCROM courses)
Supporting Applicant

Representative from the local disaster risk management agency, civil protection or other relevant agencies
Name *

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Gender*
Phone Number
Please enter a valid phone number.
Email*
example@example.com
Educational background *
Name of institution*
Present occupation and everyday professional responsibilities*
Relevant professional courses (including ICCROM courses, if any)
Statement of Purpose
Briefly describe the heritage instituion or site for which you would like to improve flood risk mitigation and preparedness. (Provide geo-coordinates, type of heritage, history of the place, immediate surroundings)*
What are the key challenges and risk of flooding to the heritage and how are they intensified by climate change?*
Explain why you are applying for this course, what you hope to learn from it, and how it will benefit your professional development and your heritage instituion or site. *
Scholarships
Applicants are encouraged to seek funding - from state institutions, foundations, or their employers.

Successful candidates are expected to cover the costs of their participation (course fee, travel and living expenses).

In case of proven financial need, ICCROM is able to grant a limited number of scholarships on condition that the course fee is paid. The scholarship request should be supported in writing by the person endorsing the application (employer or other).
If accepted as a course participant, would you be able to cover your participation expenses?*

YesNoPartially
If partially, please explain
Official Endorsement

Your application will not be considered unless this section is correctly filled in by the person endorsing the application (public official, employer, or academic supervisor).
The undersigned: First Name*   Last Name* ;   Title or position*;   Institution or organization*; Phone Number*   Address*            Email*endorses the application of the candidate:   First Name*   Last Name*

Signature of person endorsing*
Date*
If possible, please attach relevant documents including endorsment letter from the relevant authority at the selected heritage site, granting access and permission to work with the staff and implement flood risk managment measure(s) on-site. Please note that this letter can be produced after being selected for the course

Cancelof
Please use this space to write any relevant information you would like the course organizers to know.
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Application Form

Personal Data

Lead Applicant

Supporting Applicant

Statement of Purpose

Scholarships

Official Endorsement