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ITLS Reduced Fees Request Application

ITLS Reduced Fees Request Application



ITLS Reduced Fees Request Application

The request for consideration for reduced Course Management System (CMS) fees applies to all ITLS Chapters and Training Centres. This will also encompass training centre or chapter applicants who wish to have a virtual site visit due to financial hardships.
  • Approval Authority: ITLS Board of Directors
  • Policy Office of Primary Interest: ITLS Finance Committee
  • Enquiries: ITLS Executive Director and ITLS International Office

As a global not-for-profit organization, ITLS recognizes that in order to support the growth of Chapters and Training Centres in low-income and Lower-middle-income economies, a policy must be in place that would allow these Chapters and Training centers to apply for reduced costs, which will in turn be used for administrative costs in offering ITLS courses. ITLS also recognizes the need for virtual Chapter and Training Center site visits for those applicants who cannot afford to bring an ITLS International site visiting team to a CONUS or OCOUNS.

After reviewing the ITLS Reduced Fees Policy and criteria, please complete the application for requesting reduced fees. 
Chapter/Training Centre Information
 
This question requires a valid email address.
This question requires a valid email address.
12. Are you a government agency?
13. Are you a non-profit organization?
14.  Are you a FOR-profit organization?
Country/Student Landscape
 
21. Course/Students Trained and Forecasted Information
Space Cell Year# of StudentsComments
Provider – Basic
Provider – Advanced
Provider- Combined
High Threat
Pediatric
Duty to Respond
eTrauma
eTrauma Completer
Access
22. Course/Students Trained and Forecasted Information
Space Cell Year# of StudentsComments
Provider – Basic
Provider – Advanced
Provider- Combined
High Threat
Pediatric
Duty to Respond
eTrauma
eTrauma Completer
Access
Chapter/Training Centre Specific information
 
23. What is your organizational funding model?
Space Cell RateCost per Student (without Discounts)Cost Delta
Provider – Basic
Provider – Advanced
Provider- Combined
High Threat
Pediatric
Duty to Respond
eTrauma
eTrauma Completer
Access
Chapter/Training Centre Overhead Costs


 
Growth Strategy

Please provide us your growth strategy and plan in regard to the length of time required or rationale for reduced fees.


 
27. As the Chapter/Training Centre authorized signing official, I hereby acknowledge that I have completed the Reduced Fees Request Application to the best of my ability, providing accurate and truthful information.

 
Clear
Signature of
28. Please upload any additional documents which will support your reduced fees application. (Example: budgets, letter of support, etc.)