Please type in all necessary information below, print and sign this form. The form can be mailed to: Division of International Technical Cooperation, Room 2190, 2 Massachusetts Avenue, NE., Washington, DC 20212-0001 or faxed to (202) 691-7900. A PDF version of the Training Payment Agreement form is also available for download.
Training Payment Agreement
TRAINEE INFORMATION | |||||||||||||||||||||||||||
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Surname: | Given Name: | ||||||||||||||||||||||||||
Job Title: | Employer: | ||||||||||||||||||||||||||
Address: (Street or P.O. Box, City, and Country) | |||||||||||||||||||||||||||
Telephone: | Fax: | ||||||||||||||||||||||||||
E-mail: | |||||||||||||||||||||||||||
TRAINING AND COST INFORMATION | |||||||||||||||||||||||||||
Training Program: | Dates of Training: | ||||||||||||||||||||||||||
Tuition: $ | Interpretation: $ | ||||||||||||||||||||||||||
Total Amount Payable to the U.S. Bureau of Labor Statistics (BLS): $ Payment, in U.S. dollars, is due before or upon the trainee’s arrival at BLS. Do not include money that should be paid directly to the trainee including allowances for housing, meals, and medical insurance. Payment may be made by wire transfer or credit card. Please contact us by email for wire transfer information. BLS will only accept payment by check from a U.S. chartered bank. | |||||||||||||||||||||||||||
Credit Card Information: | |||||||||||||||||||||||||||
VISA | MasterCard | AmericanExpress | Discover | ||||||||||||||||||||||||
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FINANCIAL SPONSOR INFORMATION | |||||||||||||||||||||||||||
Name and Title of Official Responsible for Tuition Payment: | |||||||||||||||||||||||||||
Organization: | |||||||||||||||||||||||||||
Mailing Address: (Street or P.O. Box, City, and Country) | |||||||||||||||||||||||||||
Telephone: | Fax: | ||||||||||||||||||||||||||
E-mail: | |||||||||||||||||||||||||||
Signature of Official Responsible For Tuition Payment: |
Last Modified Date: January 05, 2007