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Participant Application
Applied Health Research Skills-Evidence Based Public Health
English
September 1 - 19, 2008
US $4500
This workshop prepares participants to conduct basic survey research for generating population statistics and measuring the impact of public health interventions.
All fields marked with a
*
are required:
First Name
*
Last Name
*
Sex
*
Female
Male
Nationality
*
Languages
*
Present Position
*
For How Long
Name of Organization
*
Mailing Address 1
*
Mailing Address 2
City
State or Province
Postal Code
Country
Telephone
*
Home Telephone
Fax
Email
*
Education
Work Experience
Objectives of this workshop
Participants make presentations about their country, and their work, and develop a plan that can be implemented countries. We recommend that participants bring relevant documents and materials to be shared with the group.
Sponsoring Agency
Participants require sponsorship for all expenses related to the course. Once sponsorship has been obtained, please ask your sponsor to send us a letter of financial certification. If you have difficulties in obtaining a sponsor please visit our
list of potential sponsoring agencies.
Sponsoring Agency
*
Yes
No, I do not presently have a sponsor.
Name of Sponsoring Agency
Sponsor Address 1
Sponsor Address 2
Sponsor City
Sponsor State or Provence
Sponsor Postal Code
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