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ICEA
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June 11th to 14th 2015
Université de Montréal
Self-organized activity registration form

Organisation
Name of the organisation : ICAE Member : Yes  No 
E-mail : Country  :
Contact person
Last name, First name: Position :
E-mail : Phone number :

 
Title of the activity:
Description of the activity (Max. 400 words)
Please indicate under which of the following proposed themes, your activity will be organized:
Ensuring the right to education and lifelong learning for all, beyond 2015
Capacity building for advocacy
The role of adult learning and education for sustainable development
Adult learning and education, power relations and community engagement
Quality inclusive education for all
My activity cannot be classified under any of the proposed themes
For a description of the themes, please click here
Time slots: Please, select your 1st and 2nd preferences
1:
2:
Please note that we cannot guarantee that your activity will be assigned the selected time slot. 		Number of persons expected (approximately)
Working language(s) of the activity:
Will you need interpretation ? Yes  No 
If the answer is yes, please indicate language(s): from to:
Please note that we cannot guarantee interpretation for your activity but we will make our best efforts.
First name and last name of speakers and facilitators
Conference rooms - all the rooms have a screen and a projector