OIML/APMLF Training Course on Prepackaged Goods

10-13 April 2018, Nanning, PR China

NOMINATION FORM 

10-13 April 2018, Nanning, PR China

Please complete and email this form to Anne.Hoepfner@ptb.de by 
28 February 2018. All nominations will undergo a selection process and will be evaluated by the members of the MEDEA Coordination Committee in consultation with representatives from OIML Pilot Training Center.

Selection of participants will be based on the following criteria:
•	Years of practical experience in the area of prepackaged goods
•	Experience in training other staff members
•	Years of responsibility for implementation of metrological control of prepackaged goods
•	Willingness to train others within your economy as well as within the framework of future APLMF courses
•	Years of experience as an inspector

Only nominations supported by the director of your institution will be considered.

Nominee to complete this section 
(Use separate nomination form for each nominee)	
Economy	     	
Institution	     	
Department	     	
Title 	Ms.    Mrs.    Mr.                and if applicable     Dr.     Prof. 	
First Name 	                                       Last Name 	     	
Gender	Female     Male  	
Date of Birth 	Day     Month    Year     	
Passport number                                             Date of Expiry        	
Airport of Departure       	
Dietary Requirements        	
Email	     	Telephone	     	
Address 	     	
Education	Qualification       	Year      
	Qualification       	Year      
	Qualification       	Year      	
What is your current role including your responsibility in your institute?
     	
How many years’ experience do you have implementing prepackaged goods regulation?      .

Explain what your experience includes:      	
What specific area would you want the trainers to focus on in the lectures and demonstrations?
     	
The following questions are designed to develop a profile about how prepackaged goods are regulated within your economy. 
Does your economy have adequate legislation in place to regulate prepackaged goods?  Yes , No . If you answered No please explain further:      

Who carries out inspection of prepackaged goods in your economy?
Inspectors , 3rd party , other 

Does your economy implement OIML R 79?
Fully implemented , Partially implemented , Not implemented yet 

Does your economy implement OIML R 87?
Fully implemented , Partially implemented , Not implemented yet 

List any problems you economy needs to overcome in order to implement OIML recommendations for prepackaged goods.      

Add anything else you feel is important to share with the trainers and other participants.      
	
What is your experience delivering training?
     	

Think about the changes you want to implement in your economy as a result of attending this training course? Complete your action plan below to show how you will implement the lessons learnt from the training course. Add additional lines if required .	
	
Due Date	Activity	Who and how many people will be involved 	
     	     	     	
     	     	     	
     	     	     	
     	     	     	
     	     	     	
     	     	     	
     	     	     

What support will you require to achieve you action plan?:      

After this training course, you will be expected to share what you have learnt about by delivering training within your economy. By submitting this form, you agree to:
(Please tick all boxes):
  give your manager/director progress reports on the Action Plan
  ensure the Action Plan is implemented
  produce a report on implementation of your Action Plan by October 2018
APLMF Members: include this in your economy report at the next APLMF meeting 
      Non-APLMF Members: email to the APLMF Secretariat to be distributed as a meeting document.	
Would you be willing to deliver a lecture or demonstration at an international training course in the future?
 1 Yes	 2 No	

Please have the following section filled in by your director!
Director to complete this section	
Name	     		
Position	     	
Email                   	
What skills does the nominee have that make them suitable for the training course?
     	
Describe the potential you see for the nominee to be a future manager/leader in your economy
     	
Would you support the nominee as a prospective trainer for delivering training programs within the region in the future?
1 Yes	 2 No	
Please explain how attendance at this training course will support your economy to regulate prepackaged goods?
     	
How good are the nominee’s English communication skills?
Speaking
1 Basic	2	3	4	5 Excellent
Written
1 Basic	2	3	4	5 Excellent
Note: Basic is the level equivalent to score 500 of TOEIC or score 50 of TOEFL (iBT).	
I endorse this nomination and I will:
  support the implementation of the Action Plan
  ensure a report on the Action Plan will be included in the economy report at the next APLMF Meeting	
Signature            

Nomination Form to be submitted by the Director.