DEVELOPER APPLICATION FORM

First name

Last name

Title

Gender GenderMaleFemale

Country of residence

Email

Phone

I apply as I apply asAn individualAs an employeeAs an organization memberOther

Please specify

Have you already participated in the OE4BW program as a developer? Have you already participated in the OE4BW program as a developer?YesNo

Education Education Vocational BSc MSc PhD Other

Please specify the field Please specify the fieldEducation, PedagogyIT, EngineeringNatural SciencesMedicineSocial SciencesLanguages, HumanitiesBusiness, EconomyArchitecture, Urbanism

Please specify the field Please specify the fieldEducation, PedagogyIT, EngineeringNatural SciencesMedicineSocial SciencesLanguages, HumanitiesBusiness, EconomyArchitecture, Urbanism

Please specify the field Please specify the fieldEducation, PedagogyIT, EngineeringNatural SciencesMedicineSocial SciencesLanguages, HumanitiesBusiness, EconomyArchitecture, Urbanism

Please specify the field Please specify the fieldEducation, PedagogyIT, EngineeringNatural SciencesMedicineSocial SciencesLanguages, HumanitiesBusiness, EconomyArchitecture, Urbanism

Please specify the field

Experience relevant for OE4BW Experience relevant for OE4BWBeginner / No experience with Open Educational Resources (OER) or Massive Open Online Course (MOOC)Intermediate / Already have experience with OER or MOOC, have not yet developed itExpert / Have already developed OER or MOOC, but would like to improve it

Other relevant experience Other relevant experience Teaching Counselling E-learning Other

Please specify

Sustainable development goal - Choose the most relevant for your project (only one) Sustainable development goal - Choose the most relevant for your project (only one)Goal 1: End poverty in all its forms everywhereGoal 2: End hunger, achieve food security and improved nutrition and promote sustainable agricultureGoal 3: Ensure healthy lives and promote well-being for all at all agesGoal 4: Ensure inclusive and quality education for all and promote lifelong learningGoal 5: Achieve gender equality and empower all women and girlsGoal 6: Ensure access to water and sanitation for allGoal 7: Ensure access to affordable, reliable, sustainable and modern energy for allGoal 8: Promote inclusive and sustainable economic growth, employment and decent work for allGoal 9: Build resilient infrastructure, promote sustainable industrialization and foster innovationGoal 10: Reduce inequality within and among countriesGoal 11: Make cities inclusive, safe, resilient and sustainableGoal 12: Ensure sustainable consumption and production patternsGoal 13: Take urgent action to combat climate change and its impactsGoal 14: Conserve and sustainably use the oceans, seas and marine resourcesGoal 15: Sustainably manage forests, combat desertification, halt and reverse land degradation, halt biodiversity lossGoal 16: Promote just, peaceful and inclusive societiesGoal 17: Revitalize the global partnership for sustainable development

Tentative title of the course that you would like to develop

Target audience of your project

Why would you like to develop this project? Please describe your motivation.

Description of your project (max 600 words)

Keywords (name at least 5) describing the contents of your project

Current status of your project Current status of your projectIdeaIdea + structure of the courseIdea + structure + materialsCourse already partially developed

Optional: a link to your existing OER material related to the project you want to develop

Please provide information about existing OER related to the topic of your project that you might use when preparing your course (provide the links and your comments)

In which languages are you fluent?

In which language do you plan to develop the course?

In the future, I would like to obtain formally recognized knowledge about Open Education and OER (more than one answer possible): In the future, I would like to obtain formally recognized knowledge about Open Education and OER (more than one answer possible): I'm interested in accomplishing a Master's program focusing on these topics. I'm interested in accomplishing certified shorter forms of education on these topics (specialisation). I'm interested in getting badges. I'm only interested in knowledge and skills, with no need of certification.

I understand I have to complete a free online course on OER (https://learnoer.col.org/login) as an entry requirement to join the OE4BW programme. I understand I have to complete a free online course on OER (https://learnoer.col.org/login) as an entry requirement to join the OE4BW programme. I understand

I commit myself to implement the course prototype by end of June 2021 following the guidelines provided by the mentors and to make my course openly available under a CC licence. I commit myself to implement the course prototype by end of June 2021 following the guidelines provided by the mentors and to make my course openly available under a CC licence. I commit

The whole program is based on voluntary work and there will be no financial compensation for developing and implementing OER. The whole program is based on voluntary work and there will be no financial compensation for developing and implementing OER. I agree