AFROHUN ONE HEALTH ACADEMY TRAINING APPLICATION FORM

AFROHUN ONE HEALTH ACADEMY TRAINING APPLICATION FORM
Name*

First NameLast Name
Email*
example@example.com
Secondory Email (optional)
example@example.com
Primary Phone Number*

Area CodePhone Number
Gender*

MaleFemale
SHORT COURSE APPLIED FOR*

Resource Mobilisation (Grantsmanship) (2 Months )Fundamentals of Forensic Science (5 days)Essentials of Cybersecurity and Digital Forensics (5 days)Applied RCCE Strategies in Disease Outbreak Prevention & Control (10 days) LevelFundamentals of RCCE for Transboundary Disease Prevention & Control (5 days) Level 1Strategic Leadership & Innovation in RCCE using a One Health approach (15 days) Level 3
Tuition fees (UGX 159,600/$42) for {shortCourse30}
Resource Mobilisation (Grantsmanship) (2 Months)

$250– Special subsidized rate for the first 100 applicants
$300 – Standard rate for all other participants.

(Payment details will be provided upon registration)
What is your choice of cohort ?*

Weekend (Friday, Saturday)Weekday Evenings (Monday - Friday)

1. Academic Qualifications
Academic Qualifications *
(include awarding institutions/ schools)
Discipline
Current job title and brief description of duties and responsibilities
Who will pay for the course?*

a. I will pay for the courseb. Sponsor/ Employer
Kindly upload your curriculum vitae*

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I certify that the above statements are true and accurate to the best of my knowledge.*
(Declare by typing your names)
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