The African Women in Research & Public Health Accelerator Application
Apply for the 4-Month Career & Leadership Coaching Program for women in public health, research, academia, NGOs, and health systems in Africa.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number (with country code)
*
Please enter a valid phone number.
Country of Residence
*
Please Select
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cabo Verde
Cameroon
Central African Republic
Chad
Comoros
Congo (Brazzaville)
Congo (Kinshasa)
Djibouti
Egypt
Equatorial Guinea
Eritrea
Eswatini
Ethiopia
Gabon
Gambia
Ghana
Guinea
Guinea-Bissau
Ivory Coast
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
South Sudan
Sudan
Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Other (Please specify)
Current Role/Institution
*
Field or Sector
*
Please Select
Public Health
Research
Academia
NGO
Health Systems
Other
Highest Level of Education Completed
B.Sc
M.Sc
PhD
Other
Current Academic or Professional Status
*
Final-year student
Postgraduate student
Early-career professional (0–5 years)
Mid-career professional (6–10 years)
In one paragraph, describe your current situation in your research or public health journey.
*
What motivated you to apply for this program now?.
*
What would make this program a success for you at the end of 4 months?
*
What is your biggest professional frustration right now?
*
Are you willing and able to commit time weekly to this 6-month program?
*
Yes
No
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STUDENT TRACK APPLICATION QUESTIONS
What program are you currently enrolled in, and when do you expect to graduate?
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What originally drew you to medicine, public health, or research?
At this stage, what confuses you most about building a career in research or public health?
What skills or areas do you feel least confident about right now?
What do you hope to learn or gain before the end of this program?
Have you participated in any research projects, internships, or academic writing before?If yes, briefly describe.
*
What kind of support do you need most at this stage? (Select all that apply)
*
Career clarity
Research skills
Mentorship
Confidence
Community
Exposure to opportunities
Other
What fears or doubts do you have about pursuing a research or public health career?
*
If accepted, how do you plan to apply what you learn during the program?
*
Why do you believe this program is important for you now, not later?
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EARLY/MID CAREER TRACK APPLICATION QUESTIONS
Briefly describe your current role and responsibilities
*
How many years have you been working in public health, research, or academia?
*
What does career growth mean to you at this stage?
*
What specific skills do you want to strengthen in the next 4 months? (Select all that apply)
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Research design
Academic writing
Publishing
Grant/fellowship applications
Networking & visibility
Leadership skills
What opportunities do you feel you are currently missing out on—and why?
*
Have you applied for grants, fellowships, or publications before?
*
Yes (Successful)
Yes (Unsuccessful)
No
What has been your biggest professional setback or disappointment so far? Please explain briefly
*
What kind of guidance or mentorship do you feel you have lacked? Please explain briefly
*
How do you currently approach networking and professional visibility? Please explain briefly
*
If nothing changes in the next 2–3 years, what are you most afraid might happen in your career? Please explain briefly
*
What makes you ready to commit time, energy, and resources to this program? Please explain briefly
*
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Do you require financial assistance or a payment plan?
Yes
No
If applying for a scholarship, briefly explain your situation.
Is there anything else you would like us to know about you?
Submit Application
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