PURC/World Bank International Training Program on Utility Regulation and Strategy Application

Step 1 of 4 - Personal Information

October 16 - 25, 2023 - Gainesville, Florida

Application for Admission

We encourage you to submit your application by the early application deadline - September 1, 2023 - to be considered for acceptance and ensure you have enough time to secure travel visas and approvals.

This application form has been designed to obtain all the information we may need from you during the application/registration process to attend our program. We ask that you please submit clear and accurate information to avoid any delays. Our Admissions Committee will review your application as soon as possible. Applicants will be selected according to their current position and relevant professional expertise and to maintain cross-sectoral, cross-regional, and national balance. Accepted applicants will be informed via email immediately after a decision on their application is reached (usually 3-5 business days.)

We encourage all applicants to submit their applications as early as possible so that they have enough time to obtain an entry visa to the USA if needed, etc.

Note: The sessions will be conducted in English, so participants must have a good command of this language.

Please fill out all fields on the form below, or fill out the print-friendly application instead. The form can then be scanned and emailed to purcecon@warrington.ufl.edu.

By providing information on this application, you agree to receive emails from PURC. You may unsubscribe at any time. PURC does not share or sell your contact information.

Salutation*

First Name/Given*

Middle Name

Last Name/Family/Surname*

Name for Badge*

Phone*

include city and country code

Fax

include city and country code

Email*

Enter Email Confirm Email

Emergency Contact*

Name

Phone

Title of Present Position*

Institution/Company*

Company Website

Work Address*

Street Address

Address Line 2

City

State / Province / Region

Zip / Postal Code

Country

Which infrastructure sector(s) are you personally involved in regulating or operating?*

Energy

Gas

Information and Communications Technology (ICT)

Water

Other

Other infrastructure you are personally involved in regulating/operating*

Number of staff dedicated to regulatory tasks (for regulators only)

Number of individuals employed by your company (for infrastructure companies only)

Number of employees you actively manage (for company employees only)

Describe your current duties*

Payment

Full payment must be received by the payment deadline, Friday, September 8, 2023, in order to guarantee your seat at the program. If full payment is received after the payment deadline and should there be seats available, this may result in alternate hotel accommodations arranged at the discretion of the PURC Program Committee.

Payment Policy*

I understand that if I am accepted to participate in the program, proof of payment for my attendance will be due Friday, September 8, 2023 (US$8,795 for regulators or US$10,995 for all others). I will submit proof of payment via fax to (+1) 352-392-7796 or via email (purcecon@warrington.ufl.edu) by September 8, 2023.

I understand the payment policy

Cancellation

Cancellation Policy*

Cancellation(s) must be sent to PURC in writing on or before Friday, September 22, 2023, to be eligible for a refund minus a US $600.00 cancellation fee. After September 22, 2023, only 70% of the fee will be refundable (with additional charges for no-shows). In the event of cancellation by the University of Florida due to weather related events or low enrollment, you will be notified at the email address provided in your application. In the event of such postponement or cancellation, paid registration fees will be deferred to a future program. Request for full refund should be submitted in writing. The University of Florida is not responsible for any travel arrangements, travel fees, or any travel expenses incurred by you or your organization as a result of your acceptance.

I understand the cancellation policy

Services for Persons with Disabilities

If you have a disability and may require accommodations in order to fully participate, please contact us via email (purcecon@warrington.ufl.edu) or phone us at (+1) 352-392-6148 at least 1 week prior to the beginning of the event.

Submit the Form

Please press the Submit button only once to avoid multiple applications. You will receive a confirmation email after you submit your information.

Name

This field is for validation purposes and should be left unchanged.

Public Utility Research Center