{"id":1729,"date":"2011-02-03T12:19:08","date_gmt":"2011-02-03T12:19:08","guid":{"rendered":"https:\/\/xsf.stakeholderforum.org\/2011\/02\/03\/cif-private-fr\/"},"modified":"2011-02-03T12:19:08","modified_gmt":"2011-02-03T12:19:08","slug":"cif-private-fr","status":"publish","type":"post","link":"https:\/\/sf.stakeholderforum.org\/index.php\/cif-private-fr\/","title":{"rendered":"formulaire de demande &#8211; du secteur priv\u00e9"},"content":{"rendered":"<div>&nbsp;<\/div>\n<form method=\"post\" action=\"http:\/\/ymlp.com\/subscribe.php?id=geqmeymgmguh\" target=\"signup_popup\" onsubmit=\"window.open(   'http:\/\/ymlp.com\/subscribe.php?id=geqmeymgmguh','signup_popup','scrollbars=yes,width=600,height=450');  return true;\">\n<table style=\"width: 689px; height: 1291px;\" align=\"center\" border=\"0\" cellpadding=\"5\" cellspacing=\"0\">\n<tbody>\n<tr>\n<td colspan=\"2\"><span style=\"font-family: verdana, geneva; font-size: 10pt;\"><strong>A propos de vous<\/strong><br \/><\/span><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\"><span style=\"font-family: verdana, geneva; font-size: 10pt;\">Pr\u00e9nom:<\/span><\/td>\n<td valign=\"top\"><input name=\"YMP5\" size=\"20\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\"><span style=\"font-family: verdana, geneva; font-size: 10pt;\">Nom:<\/span><\/td>\n<td valign=\"top\"><input name=\"YMP10\" size=\"20\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\"><span style=\"font-family: verdana, geneva; font-size: 10pt;\">Position:<\/span><\/td>\n<td valign=\"top\"><input name=\"YMP6\" size=\"20\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\"><span style=\"font-family: verdana, geneva; font-size: 10pt;\">Organisation:<\/span><\/td>\n<td valign=\"top\"><input name=\"YMP11\" size=\"20\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\"><span style=\"font-family: verdana, geneva; font-size: 10pt;\">Adresse de votre organisation:<\/span><\/td>\n<td valign=\"top\"><input name=\"YMP12\" size=\"20\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\"><span style=\"font-family: verdana, geneva; font-size: 10pt;\">T\u00e9l\u00e9phone:<\/span><\/td>\n<td valign=\"top\"><input name=\"YMP7\" size=\"20\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\"><span style=\"font-family: verdana, geneva; font-size: 10pt;\">Sexes:<\/span><\/td>\n<td valign=\"top\"><input name=\"YMP13\" value=\"m\" type=\"radio\" \/>Masculin<br \/><input name=\"YMP13\" value=\"f\" type=\"radio\" \/>F\u00e9minin<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\"><span style=\"font-family: verdana, geneva; font-size: 10pt;\">Courrier Electronique:<\/span><\/td>\n<td valign=\"top\"><input name=\"YMP0\" size=\"20\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\"><span style=\"font-size: 10pt;\"><span style=\"font-family: verdana,geneva;\">Parmi les quatre r\u00e9gions \u00e9ligible pour le parrainage, indiquez la r\u00e9gion ou votre travail est bas\u00e9 <\/span><\/span><span style=\"font-family: verdana, geneva; font-size: 10pt;\">:<\/span><\/td>\n<td valign=\"top\"><input name=\"YMP15\" value=\"latin-america-carib\" type=\"radio\" \/>Am\u00e9rique latine et Car\u00efbes<br \/><input name=\"YMP15\" value=\"africa\" type=\"radio\" \/>Afrique<br \/><input name=\"YMP15\" value=\"asia-pac\" type=\"radio\" \/>Asie Pacifique<br \/><input name=\"YMP15\" value=\"euro-e\" type=\"radio\" \/>Europe de l&#8217;Est<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\"><span style=\"font-size: 10pt;\"><span style=\"font-family: verdana,geneva;\">Lequel de ces domaines d\u00e9cris le mieux votre exp\u00e9rience ou domaine d\u2019expertise en concordance avec le programme de priorit\u00e9s du CIF&nbsp;? Si aucun ne correspond, veuillez utiliser la case \u201cautre\u201d et renseignez d\u2019autres informations concernant votre exp\u00e9rience\/domaine d\u2019expertise:<\/span><\/span><\/td>\n<td valign=\"top\"><input name=\"YMP19\" value=\"clean-tech\" type=\"radio\" \/>Technologies propres<br \/><input name=\"YMP19\" value=\"deforestation\" type=\"radio\" \/>D\u00e9boisement et la d\u00e9gredation des for\u00eats<br \/><input name=\"YMP19\" value=\"climate-resillience\" type=\"radio\" \/>Resilience au changement climatique<br \/><input name=\"YMP19\" value=\"renewable-energy\" type=\"radio\" \/>\u00c9nergies renouvelables<br \/><input name=\"YMP19\" value=\"other\" type=\"radio\" \/>Autres<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\"><span style=\"font-family: verdana, geneva; font-size: 10pt;\"><br \/><\/span><\/td>\n<td valign=\"top\">S&#8217;il vous pla\u00eft donner plus de d\u00e9tails<input name=\"YMP24\" size=\"20\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td><strong><span style=\"font-size: 10pt;\"><span style=\"font-family: verdana,geneva;\">L&#8217;exp\u00e9rience \/ Domain D&#8217;expertise<\/span><\/span><\/strong><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\"><span style=\"font-size: 10pt;\"><span style=\"font-family: verdana,geneva;\">D\u00e9crivez comment vos comp\u00e9tences et votre activit\u00e9 professionnelle peuvent \u00eatre li\u00e9es au domaine d\u2019expertise choisis plus haut&nbsp;? (Par exemple, comment votre activit\u00e9 professionnelle peut \u00eatre li\u00e9 au programme du CIF&nbsp;? Depuis quand vous sp\u00e9cialisez vous dans le ou les domaines choisis plus haut&nbsp;? Votre participation est-elle au niveau national ou international&nbsp;?) :<\/span><\/span><\/td>\n<td valign=\"top\"><textarea rows=\"2\" name=\"YMP18\" cols=\"20\"><\/textarea><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\"><span style=\"font-size: 10pt;\"><span style=\"font-family: verdana,geneva;\">Donnez des exemples expliquant comment votre organisation est capable de fournir des ant\u00e9c\u00e9dents de mobilisation li\u00e9e \u00e0 la r\u00e9duction des \u00e9missions, au placement durable ou autres activit\u00e9s li\u00e9es au climat&nbsp;:<\/span><\/span><\/td>\n<td valign=\"top\"><textarea rows=\"2\" name=\"YMP27\" cols=\"20\"><\/textarea><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\"><span style=\"font-size: 10pt;\"><span style=\"font-family: verdana,geneva;\">Votre organisation est elle int\u00e9ress\u00e9e \u00e0 se mobiliser avec les programmes exp\u00e9rimentaux du CIF au niveau technique ou financier&nbsp;?<\/span><\/span><\/td>\n<td valign=\"top\"><input name=\"YMP29\" value=\"yes\" type=\"radio\" \/>Oui<br \/><input name=\"YMP29\" value=\"no\" type=\"radio\" \/>Non<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\"><span style=\"font-size: 10pt;\"><span style=\"font-family: verdana,geneva;\">Indiquez si vous avez\/votre organisation a d\u00e9montr\u00e9 des rapports avec une communaut\u00e9 touch\u00e9e par le travail des comit\u00e9s du CIF ou qui a fait l\u2019exp\u00e9rience des programmes exp\u00e9rimentaux du CIF. Si oui, lesquels des pays\/r\u00e9gions suivant(e):<\/span><\/span><\/td>\n<td valign=\"top\"><textarea rows=\"2\" name=\"YMP21\" cols=\"20\"><\/textarea><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\" valign=\"top\"><span style=\"font-family: verdana, geneva; font-size: 10pt;\"><br \/><\/span><\/td>\n<td valign=\"top\">\n<div style=\"text-align: left;\"><input name=\"YMP26[0]\" value=\"colombia\" type=\"checkbox\" \/>Colombie<\/div>\n<p><input name=\"YMP26[1]\" value=\"egypt\" type=\"checkbox\" \/>Egypte<br \/><input name=\"YMP26[2]\" value=\"indonesia\" type=\"checkbox\" \/>Indon\u00e9sie<br \/><input name=\"YMP26[3]\" value=\"kazakhstan\" type=\"checkbox\" \/>Kazakhstan<br \/><input name=\"YMP26[4]\" value=\"mexico\" type=\"checkbox\" \/>Mexique<br \/><input name=\"YMP26[5]\" value=\"morocco\" type=\"checkbox\" \/>Moroc<br \/><input name=\"YMP26[6]\" value=\"nigeria\" type=\"checkbox\" \/>Nigeria<br \/><input name=\"YMP26[7]\" value=\"philippines\" type=\"checkbox\" \/>Philippines<br \/><input name=\"YMP26[8]\" value=\"South Africa\" type=\"checkbox\" \/>Africa du Sud<br \/><input name=\"YMP26[9]\" value=\"Thailand\" type=\"checkbox\" \/>Tha\u00efland<br \/><input name=\"YMP26[10]\" value=\"turkey\" type=\"checkbox\" \/>Turquie<br \/><input name=\"YMP26[11]\" value=\"ukraine\" type=\"checkbox\" \/>Ukraine<br \/><input name=\"YMP26[12]\" value=\"vietnam\" type=\"checkbox\" \/>Vi\u00eatnam<br \/><input name=\"YMP26[13]\" value=\"algeria\" type=\"checkbox\" \/>Alg\u00e9rie<br \/><input name=\"YMP26[15]\" value=\"jordan\" type=\"checkbox\" \/>Jordanie<br \/><input name=\"YMP26[16]\" value=\"tunisia\" type=\"checkbox\" \/>Tunisie<br \/><input name=\"YMP26[17]\" value=\"bangladesh\" type=\"checkbox\" \/>Bangladesh<br \/><input name=\"YMP26[18]\" value=\"bolivia\" type=\"checkbox\" \/>Bolivie<br \/><input name=\"YMP26[19]\" value=\"cambodia\" type=\"checkbox\" \/>Cambodge<br \/><input name=\"YMP26[20]\" value=\"mozabique\" type=\"checkbox\" \/>Mozambique<br \/><input name=\"YMP26[21]\" value=\"nepal\" type=\"checkbox\" \/>N\u00e9pal<br \/><input name=\"YMP26[22]\" value=\"niger\" type=\"checkbox\" \/>Niger<br \/><input name=\"YMP26[23]\" value=\"tajikstan\" type=\"checkbox\" \/>Tadjikistan<br \/><input name=\"YMP26[24]\" value=\"yemen\" type=\"checkbox\" \/>Y\u00e9men<br \/><input name=\"YMP26[25]\" value=\"zambia\" type=\"checkbox\" \/>Zambie<br \/><input name=\"YMP26[26]\" value=\"caribbean\" type=\"checkbox\" \/>Des Cara\u00efbes<br \/><input name=\"YMP26[27]\" value=\"s-pacific\" type=\"checkbox\" \/>Pacifique Sud<br \/><input name=\"YMP26[28]\" value=\"brazil\" type=\"checkbox\" \/>Br\u00e9sil<br \/><input name=\"YMP26[29]\" value=\"burkina-faso\" type=\"checkbox\" \/>Burkina Faso<br \/><input name=\"YMP26[30]\" value=\"DRC\" type=\"checkbox\" \/>R\u00e9publique d\u00e9mocratique du Congo<br \/><input name=\"YMP26[31]\" value=\"ghana\" type=\"checkbox\" \/>Ghana<br \/><input name=\"YMP26[32]\" value=\"laos\" type=\"checkbox\" \/>Laos<br \/><input name=\"YMP26[33]\" value=\"peru\" type=\"checkbox\" \/>P\u00e9rou<br \/><input name=\"YMP26[34]\" value=\"ethiopia\" type=\"checkbox\" \/>Ethiopie<br \/><input name=\"YMP26[35]\" value=\"honduras\" type=\"checkbox\" \/>Honduras<br \/><input name=\"YMP26[36]\" value=\"kenya\" type=\"checkbox\" \/>Kenya<br \/><input name=\"YMP26[37]\" value=\"maldives\" type=\"checkbox\" \/>Maldives<br \/><input name=\"YMP26[38]\" value=\"mali\" type=\"checkbox\" \/>Mali<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\"><span style=\"font-size: 10pt;\"><span style=\"font-family: verdana,geneva;\">Indiquez si vous faite \/votre organisation fait partie d\u2019un plus grand r\u00e9seau ou d\u2019un groupe d\u2019actionnaires :<\/span><\/span><\/td>\n<td valign=\"top\"><textarea rows=\"2\" name=\"YMP25\" cols=\"20\"><\/textarea><\/td>\n<\/tr>\n<tr>\n<\/tr>\n<tr>\n<td valign=\"top\"><span style=\"font-size: 10pt;\"><span style=\"font-family: verdana,geneva;\">Fournissez le nom et les coordonn\u00e9es d\u2019un r\u00e9f\u00e9rent venant de l\u2019organisation que vous repr\u00e9sentez afin de v\u00e9rifier vos comp\u00e9tences et exp\u00e9riences:<\/span><\/span><\/td>\n<td valign=\"top\"><input name=\"YMP31\" size=\"20\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\"><span style=\"font-size: 10pt;\"><span style=\"font-family: verdana,geneva;\">Position (r\u00e9f\u00e9rent):<\/span><\/span><\/td>\n<td valign=\"top\"><input name=\"YMP32\" size=\"20\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\"><span style=\"font-family: verdana, geneva; font-size: 10pt;\">Organisation (r\u00e9f\u00e9rent):<\/span><\/td>\n<td valign=\"top\"><input name=\"YMP33\" size=\"20\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\"><span style=\"font-family: verdana, geneva; font-size: 10pt;\">T\u00e9l\u00e9phone (r\u00e9f\u00e9rent):<\/span><\/td>\n<td valign=\"top\"><input name=\"YMP34\" size=\"20\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\"><span style=\"font-family: verdana, geneva; font-size: 10pt;\">Courrier \u00e9lectronique (r\u00e9f\u00e9rent):<\/span><\/td>\n<td valign=\"top\"><input name=\"YMP35\" size=\"20\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\"><span style=\"font-family: verdana, geneva; font-size: 10pt;\">Lien avec le r\u00e9f\u00e9rent:<\/span><\/td>\n<td valign=\"top\"><input name=\"YMP36\" size=\"20\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\"><span style=\"font-size: 10pt;\"><span style=\"font-family: verdana,geneva;\">Avez vous\/votre organisation a-t-elle un quelconque lien contractuel ou financier, pr\u00e9sent ou pass\u00e9, avec la Banque Mondiale&nbsp;? Si oui, expliquez&nbsp;lequel :<\/span><\/span><\/td>\n<td valign=\"top\"><textarea rows=\"2\" name=\"YMP22\" cols=\"20\"><\/textarea><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-size: 10pt;\"><strong><span style=\"font-family: verdana,geneva;\">Langues<\/span><\/strong><\/span><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\"><span style=\"font-size: 10pt;\"><span style=\"font-family: verdana,geneva;\">Indiquez dans quelle(s) langue(s) vous pensez avoir un niveau suffisant de compr\u00e9hension, afin de pouvoir prendre part aux sessions pl\u00e9ni\u00e8res au Forum Partenaires et aux r\u00e9unions exp\u00e9rimentales&nbsp;:<\/span><\/span><\/td>\n<td valign=\"top\"><input name=\"YMP23[0]\" value=\"eng\" type=\"checkbox\" \/>Anglais<br \/><input name=\"YMP23[1]\" value=\"esp\" type=\"checkbox\" \/>Espagnol<br \/><input name=\"YMP23[2]\" value=\"fr\" type=\"checkbox\" \/>Fra\u00e7ais<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\"><span style=\"font-size: 10pt;\"><span style=\"font-family: verdana,geneva;\"><strong>Inscrivez-vous afin de devenir un Observateur pour le CIF <\/strong><\/span><\/span><\/td>\n<td valign=\"top\"><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\"><span style=\"font-family: verdana, geneva; font-size: 10pt;\">Souhaitez-vous inscrire votre int\u00e9r\u00eat \u00e0 devenir un observateur aux comit\u00e9s CIF pour la p\u00e9riode 2011-2013?<\/span><\/td>\n<td valign=\"top\"><input value=\"ADD TO OBSERVER LIST\" name=\"YMP37\" type=\"radio\" \/>Oui<br \/><input value=\"ignore\" name=\"YMP37\" type=\"radio\" \/>Non<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\"><span style=\"font-family: verdana, geneva; font-size: 10pt;\">Si vous n&#8217;\u00eates pas s\u00e9lection\u00e9(e)s pour le parrainage d&#8217;assister au CIF 2011 du Forum de partenariat, \u00eates vous pr\u00e9par\u00e9(e)s \u00e0 l&#8217;auto-financement pour assister au Forum du CIF? (NB les espaces pour les participants d&#8217;auto-parrain\u00e9 sont limit\u00e9es) <\/span><\/td>\n<td valign=\"top\"><input value=\"SELF-SPONSOR\" name=\"YMP39\" type=\"radio\" \/>Oui<br \/><input value=\"CANNOT-SELF-SPONSOR\" name=\"YMP39\" type=\"radio\" \/>Non<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><input value=\"Soumettre\" type=\"submit\" \/>&nbsp;<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/form>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; A propos de vous Pr\u00e9nom: Nom: Position: Organisation: Adresse de votre organisation: T\u00e9l\u00e9phone: Sexes: MasculinF\u00e9minin Courrier Electronique: Parmi les quatre r\u00e9gions \u00e9ligible pour le parrainage, indiquez la r\u00e9gion ou votre travail est bas\u00e9&#46;&#46;&#46;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1729","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/sf.stakeholderforum.org\/index.php\/wp-json\/wp\/v2\/posts\/1729","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sf.stakeholderforum.org\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sf.stakeholderforum.org\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sf.stakeholderforum.org\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/sf.stakeholderforum.org\/index.php\/wp-json\/wp\/v2\/comments?post=1729"}],"version-history":[{"count":0,"href":"https:\/\/sf.stakeholderforum.org\/index.php\/wp-json\/wp\/v2\/posts\/1729\/revisions"}],"wp:attachment":[{"href":"https:\/\/sf.stakeholderforum.org\/index.php\/wp-json\/wp\/v2\/media?parent=1729"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sf.stakeholderforum.org\/index.php\/wp-json\/wp\/v2\/categories?post=1729"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sf.stakeholderforum.org\/index.php\/wp-json\/wp\/v2\/tags?post=1729"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}