Boulder Online B2B Registration in English

If you have difficulties entering your information you can download the registration form HERE and send it to b2b@bouldermicrofinance.org

Please read the form below carefully and provide the requested information (*)
If you are using a cell phone in vertical mode, please put it in horizontal mode to enter the data

Personal Data
Sponsor
Experience
Send


Which languages do you speak fluently? *
First name / Given name *
Family name(s) / Surname *
Gender *
Work Information
Institution you work for *
Type of institution *
Institutional web site
Job Title *
Job Type *
Level of responsibility *
Duty station/Work address *
City *
Country *
Phone: (country code) (city code) (phone number) *
Cell Phone: (country code) (city code) (phone number)
Skype username
E-mail *
Second E-mail address
Please upload your picture in jpg format (max.size 50K)

After filling out your personal data, please click on 'Sponsor'

This information only refers to your sponsor organization.
TUITION SPONSOR
Type of sponsor *
Name of tuition sponsor *
Contact person *
Sponsor contact's email *
Address *
City *
ZIP code
Country *
Phone: (country code) (city code) (phone number) /extension *


How would you rate your knowledge of microfinance? *
What is one challenge you are facing in your area?
What 3 topics would you primarily like to explore at B2B Program in response to the challenges you are facing? *
How did you learn about B2B Program? *
Have you attended previous Boulder Institute programs?
If yes, which program?
Year(s) you attended
Short bio for participant directory (no more than 240 characters)



	Photography consent form * Your registration constitutes permission to Boulder Institute of Microfinance employees, agents and representatives to use and publish photographs, digital images, videotape, audio recording, and / or quoted remarks taken of you, your presentations and surrounding belongings during the 2022 B2B program for use in electronic publications, websites, blogs, interactive media or other electronic communications for the sole purpose of educational and marketing efforts. In addition, your name and identity may be revealed in descriptive text or commentary in connection with the aforementioned images and/or quotes taken during the program. If you do not wish to be interviewed or photographed during our program, please let our staff know, and you are entitled to refrain from participating during these moments.
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