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CARE BANGLADESH: APPLICATION FORM
Position and Project applying for: Field Facilitator for Strengthening the Diary
Value Chain (SDVCB II) Project Phase 2nd Phase
NAME AND CONTACT INFORMATION:
NAME IN FULL : SURMA KHATUN
Father's Name : Md. Mommtazur Rahman Sarker
Mother's Name : Mrs. Feroza Begum
Address (Present) : Panna Shoes
Babu Mia Newmarket
Bogra-5800.
Date of Birth : 05th May 1969
Telephone number : 05164427
Mobile number : 01738-848493
Email address : surma_bogra@yahoo.com
Do you have any relatives (close or distant) in CARE? Yes/No: No
If yes, please fill in the following information:
Name of relative: ____________________________________ Empl #:__________
Designation: ____________________ Project/Dept.: _____________________
Office: ____________________ Relation: _____________________________
KEY QUALIFICATIONS (Max ½ page):
Examination Year Division Board/University
BA (Pass) 2009 3rd Nationality University
H.S.C 1987 2nd Rajshahi
S.S.C 1984 2nd Rajshahi
EDUCATION AND RELEVANT TRAINING (Max ½ page):
Name of workshop Venue Duration
Organizing
NGOs
Farmers Training Develop G.S.S. Hall Roam Khulna 3 days CARE-Golda
Planning Workshop Toger Garden Hotel Khulna 3 days CARE-Golda
Performance Management
System
A.T.I. Doultpur Khulna 2 days CARE-Golda
Participatory Monitoring
And Evaluation
A.T.I. Doultpur Khulna 3 days CARE-Golda
Phage Out Group Follow-Up A.T.I. Doultpur Khulna 2 days CARE-Golda
Training Course Completed
Organization Course Title Venue Duration
BRAC A Course On Human Development C.D.P-Joypurhat 5 days
NGO Forum Whetstones Campaign And
Development Mass Culture
Caritas - Rajshahi 11 days
CARE Golda Project Monitoring & Evaluation System CARA Office-
Khulna
3 days
CARE Golda Project Staff
Development
Training Programs
RRC Jessore 120 days
CARE Golda project Methods of data collection CRA office
Khulna
5 days
CARE Golda project Gender Sensitivity CARA Office
Khulna
3 days
GUP Commodity management & health
Nutrition
Barisal 5 days
GUP Community action plan
development
Barisal 5 days
GUP Essential Nutrition Action Barisal 6 days
PROFESSIONAL HISTORY (Max 2 pages):
Name of
NGOs
Joining Date
Leaving
Data
Type of
Work
Address Position
CARE 01/06/1991 25/10/1992
Woman’s
Development
Supervisior
Gaibandha
West Para
Field
Supervisor
WDP
CDP 01/08/1997 12/08/1998
Group
formation
Loan
Program
Hatil
Joypurhat
Group
Organizer
CDP
CARE
Bangladesh
Golda
Project
01/09/1998 28/02/1999
Integrated
Gher
Farming
(Rice Fish
And
Vegetable)
Road # 7A
House # 66
Dhaka
Field
Trainer
Gano
Unnayan
Prochesta
(GUP)
1/6/2011 31/12/2013
Health &
nutrition
program
Mehedigonj ,
Barisal
Field
Facilitator
" I am a graduate women with well health to carry out my duties either in office or
field. In order to maintain my livelihood with my husband and daughter I am
dependent to job opportunities. So since 1991 I have been working for different
development organization in different avenue of health, education and income
generation for the poor and needy people. I am employed with "Gono Unnyoan
Prochesta" as field facilitator from 1/6/2011 to 31/12/2013.
Before I worked for care Bangladesh in WDP and Golda project about 3 yrs and for
CDP 1 year at field level. Through the employment over the present and past
period I have been efficient in the development activities.
In order to carry out my duties I can paddle bicycle and motor cycle. And can
overcome any kind of physical challenges. In my work I am very honest,
courageous and committed. I have ability to work in any kind of unfavorable
situation. I feel myself efficient in motivational presentation. More over lots of
trainings which I received in my service period made me skilled and capable. So, I
think I am fit and competent for the position."
REFERENCES:
1. Serel Rojario
Program Manager
S.M.N.B
Save Cred Program
Fulbari Dinajpur
Mobile: 01711405716.
Email:cyrilroz@yahoo.com
2. Mahabubul Haque
Technical .Officer
CARE Bangladesh
MNH Initiative Program
Kacharipara, Jamalpur.
Mobile: 01710874785.
Email:mohabulhaque@yahoo.com
3. Susil Kumar Das
Program Manager
CARE-Bangladesh
SHOUHARDO Program-II
Rangpur, Bangladesh.
Tel:+0880581-62125
Mobile:+08801711461596,+08801712749482
Email:susil@bd.care.org
susil5268@yahoo.com

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Application (07 1-2013)

  • 1. CARE BANGLADESH: APPLICATION FORM Position and Project applying for: Field Facilitator for Strengthening the Diary Value Chain (SDVCB II) Project Phase 2nd Phase NAME AND CONTACT INFORMATION: NAME IN FULL : SURMA KHATUN Father's Name : Md. Mommtazur Rahman Sarker Mother's Name : Mrs. Feroza Begum Address (Present) : Panna Shoes Babu Mia Newmarket Bogra-5800. Date of Birth : 05th May 1969 Telephone number : 05164427 Mobile number : 01738-848493 Email address : surma_bogra@yahoo.com Do you have any relatives (close or distant) in CARE? Yes/No: No If yes, please fill in the following information: Name of relative: ____________________________________ Empl #:__________ Designation: ____________________ Project/Dept.: _____________________ Office: ____________________ Relation: _____________________________ KEY QUALIFICATIONS (Max ½ page): Examination Year Division Board/University BA (Pass) 2009 3rd Nationality University H.S.C 1987 2nd Rajshahi S.S.C 1984 2nd Rajshahi EDUCATION AND RELEVANT TRAINING (Max ½ page): Name of workshop Venue Duration Organizing NGOs Farmers Training Develop G.S.S. Hall Roam Khulna 3 days CARE-Golda Planning Workshop Toger Garden Hotel Khulna 3 days CARE-Golda Performance Management System A.T.I. Doultpur Khulna 2 days CARE-Golda Participatory Monitoring And Evaluation A.T.I. Doultpur Khulna 3 days CARE-Golda Phage Out Group Follow-Up A.T.I. Doultpur Khulna 2 days CARE-Golda
  • 2. Training Course Completed Organization Course Title Venue Duration BRAC A Course On Human Development C.D.P-Joypurhat 5 days NGO Forum Whetstones Campaign And Development Mass Culture Caritas - Rajshahi 11 days CARE Golda Project Monitoring & Evaluation System CARA Office- Khulna 3 days CARE Golda Project Staff Development Training Programs RRC Jessore 120 days CARE Golda project Methods of data collection CRA office Khulna 5 days CARE Golda project Gender Sensitivity CARA Office Khulna 3 days GUP Commodity management & health Nutrition Barisal 5 days GUP Community action plan development Barisal 5 days GUP Essential Nutrition Action Barisal 6 days PROFESSIONAL HISTORY (Max 2 pages): Name of NGOs Joining Date Leaving Data Type of Work Address Position CARE 01/06/1991 25/10/1992 Woman’s Development Supervisior Gaibandha West Para Field Supervisor WDP CDP 01/08/1997 12/08/1998 Group formation Loan Program Hatil Joypurhat Group Organizer CDP CARE Bangladesh Golda Project 01/09/1998 28/02/1999 Integrated Gher Farming (Rice Fish And Vegetable) Road # 7A House # 66 Dhaka Field Trainer Gano Unnayan Prochesta (GUP) 1/6/2011 31/12/2013 Health & nutrition program Mehedigonj , Barisal Field Facilitator
  • 3. " I am a graduate women with well health to carry out my duties either in office or field. In order to maintain my livelihood with my husband and daughter I am dependent to job opportunities. So since 1991 I have been working for different development organization in different avenue of health, education and income generation for the poor and needy people. I am employed with "Gono Unnyoan Prochesta" as field facilitator from 1/6/2011 to 31/12/2013. Before I worked for care Bangladesh in WDP and Golda project about 3 yrs and for CDP 1 year at field level. Through the employment over the present and past period I have been efficient in the development activities. In order to carry out my duties I can paddle bicycle and motor cycle. And can overcome any kind of physical challenges. In my work I am very honest, courageous and committed. I have ability to work in any kind of unfavorable situation. I feel myself efficient in motivational presentation. More over lots of trainings which I received in my service period made me skilled and capable. So, I think I am fit and competent for the position." REFERENCES: 1. Serel Rojario Program Manager S.M.N.B Save Cred Program Fulbari Dinajpur Mobile: 01711405716. Email:cyrilroz@yahoo.com 2. Mahabubul Haque Technical .Officer CARE Bangladesh MNH Initiative Program Kacharipara, Jamalpur. Mobile: 01710874785. Email:mohabulhaque@yahoo.com 3. Susil Kumar Das Program Manager CARE-Bangladesh SHOUHARDO Program-II Rangpur, Bangladesh. Tel:+0880581-62125 Mobile:+08801711461596,+08801712749482 Email:susil@bd.care.org susil5268@yahoo.com