Course Registration Form

Application for healthbiz chapter in Egypt.

Thank you for your interest in joining the HealthBiz Egypt chapter!HealthBiz is a youth-led project focused on improving health awareness and education in communities. Please complete this application carefully.Expected weekly commitment varies by role (2–6 hours). Applications are open to motivated students in Egypt.
Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Gender
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
Why do you want to join HealthBiz Egypt?
City in Egypt
Which role are you applying for? (Multiple choice – required)
How many hours per week can you dedicate to your role, and when are you generally available? (required)
What skills, experience, or ideas do you have that make you suitable for your chosen role? ( required)
(Important for Media / Writing Team assignments)Q11: Which language would you like to contribute in? ( required)
“If you are applying for the Writing Team, please send a writing sample (250–300 words) in your chosen language to this email: andreazafiris06@gmail.com or write it here.
If you are applying for the Media / Communications Team, please provide a video (maximum 10 minutes) explaining how you would promote the Egyptian chapter. Since video files can be large, please upload it to Google Drive, Dropbox, or YouTube (as Unlisted) and share the link here.”
Preferred time for meetings or team check-ines
Declaration / ConfirmationI confirm that all information provided is accurate, and I commit to fulfilling the expected responsibilities of my chosen role if selected.
Thank you for applying! Your application has been submitted successfully. We will review it and contact you soon with next steps.
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Application for healthbiz chapter in Egypt.