This document is an application form for a short course on molecular diagnostics for neglected infectious diseases offered by Kilimanjaro Clinical Research Institute in Tanzania. The form requests the applicant's personal details and employment information, their educational background, and a statement on how the course relates to their career. It instructs applicants to seek endorsement from their respective work packages under the East African Consortium for Clinical Research. Successful candidates will be notified through their work package coordinator. The form collects references and requires a CV and support letter to be attached.
This document is an application form for a short course on molecular diagnostics for neglected infectious diseases offered by Kilimanjaro Clinical Research Institute in Tanzania. The form requests the applicant's personal details and employment information, their educational background, and a statement on how the course relates to their career. It instructs applicants to seek endorsement from their respective work packages under the East African Consortium for Clinical Research. Successful candidates will be notified through their work package coordinator. The form collects references and requires a CV and support letter to be attached.
This document is an application form for a short course on molecular diagnostics for neglected infectious diseases offered by Kilimanjaro Clinical Research Institute in Tanzania. The form requests the applicant's personal details and employment information, their educational background, and a statement on how the course relates to their career. It instructs applicants to seek endorsement from their respective work packages under the East African Consortium for Clinical Research. Successful candidates will be notified through their work package coordinator. The form collects references and requires a CV and support letter to be attached.
This document is an application form for a short course on molecular diagnostics for neglected infectious diseases offered by Kilimanjaro Clinical Research Institute in Tanzania. The form requests the applicant's personal details and employment information, their educational background, and a statement on how the course relates to their career. It instructs applicants to seek endorsement from their respective work packages under the East African Consortium for Clinical Research. Successful candidates will be notified through their work package coordinator. The form collects references and requires a CV and support letter to be attached.
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EACCR-2
NID WORK PACKAGE
SHORT COURSE ON NID MOLECULAR DIAGNOSTICS Kilimanjaro Clinical research Institute, P. O. Box 2236, Moshi, Tanzania Phone: +255-27-2754201, Fax: +255-27-2753368, Web: www.kcri.ac.tz E–mail: kcriadmin@kcri.ac.tz;
This form is to be completed by applicants for all short courses. All applications should be sent via email to KCRI. Applicants should seek endorsement of their application through their respective Work Packages. Normally training opportunities are distributed to each of the five Work Packages of EACCR-3 (i.e. TB Work Package, HIV Work Package, Malaria Work Package, Neglected Infectious diseases Work Package and the Training Work Package). Successful applicants will be notified via their respective Work Package coordinators. Selection will be based on merits such as evidence of career path, usefulness of the course to the candidate’s career and the likelihood of applying the learned knowledge/skills.
1 Title of Course (or short MOLECULAR DIAGNOSTIC TRAINING COURSE ON NEGLECTED INFECTIOUS course) applied for DISEASES
2 Applicant’s personal particulars
a) Full name as it appears on certificates b) Surname c) Sex (male/Female) d) Nationality e) Email address 3 Employment What is your current employment
Please describe your daily
activities in the current employment
4 University / College training (Please list University/College trainings starting with the most recent) Year Institution Qualification /award a) b) c) 5 Relevance of the course applied for to your career (Please describe shortly your career and why you think the course you have applied for is suitable to your career and how you expect to use the obtained knowledge and skills) EACCR-2 NID WORK PACKAGE SHORT COURSE ON NID MOLECULAR DIAGNOSTICS Kilimanjaro Clinical research Institute, P. O. Box 2236, Moshi, Tanzania Phone: +255-27-2754201, Fax: +255-27-2753368, Web: www.kcri.ac.tz E–mail: kcriadmin@kcri.ac.tz;
6 References (please provide name and email addresses of 2 persons that can act as your referees) a) b)
7 Declaration
Applicants signature and date
Attachments
1. CV – please attach an up-to-date curriculum vitae
2. Support letter from your head of institution or your immediate boss.
NB: After training EACCR will keep tracking all trainees to find out of the application of the knowledge and skills obtained under such trainings. Please provide a reliable/permanent email address.
All applications should be addressed to:
Ms. Eliza Kussaga, KCRI via email address e.kussaga@kcri.ac.tz and cc to kcriadmin@kcri.ac.tz
