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I. Personal Information
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Full Name |
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Name is required |
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| 2. |
Title: |
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Title is required |
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| 3. |
Sex |
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Sex is required |
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| 04. |
Date of brith |
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Month:
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Year:
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| 05. |
Age in completed years |
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Age is required
! Invalid Age, Numbers Only are allowed
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| 06. |
Address for correspondence |
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| 07. |
Nationality |
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Nationality is required |
Nationality is required |
| 08. |
Country of Birth |
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| 09. |
Country of Residence |
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| 10. |
Employment Status: |
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Employment status is required |
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II. Educational Background
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| 11. |
In the table below, indicate the higher educational degrees(after secondary) you completed |
| * You must at least fill one completed dergree |
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III. Professional Experience
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| 12. |
In the table below, indicate the positions you held starting from the most recent |
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IV. Skills
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| 13. |
Training: in the table below, please list any training you have received during the last five years in the field of research methods or evaluation |
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| 14. |
Language Proficiency: In the table below, please rate your proficiency in Arabic and English |
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Speak |
Read |
Write |
| English |
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| Arabic |
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| 15. |
Computer Proficiency: In the table below, please rate your proficiency in using the following packages |
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| Computer Package |
Proficiency |
| Microsoft PowerPoint |
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| Microsoft Excel |
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| CSPRO |
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| SPSS |
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| STATA |
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| NVIVO |
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| ENDNote |
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| 16. |
Research Experience: In the table below, please give information on your previous research experience |
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If Yes give details |
| Have you ever conducted fieldwork |
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| Have you ever prepared a research proposal |
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| Have you ever written a scientific research report |
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| Have you ever published scientific papers in peer reviewed journal |
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V- Course Information
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| 17. |
How did you hear about this training course |
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| 18. |
Have you ever applied for a training course at SRC? |
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| 19. |
What are you applying for? |
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(The full course costs US$3,500) |
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| 20. |
If you are applying for modules,What is (are) the module(s) you want to attend? |
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| 21. |
If you are applying for submodules,What is (are) the submodule(s) you want to attend? (each submodule costs US$325) |
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Module |
Date |
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Submodule I.1: Sustainable Development Goals and Basics of Research |
Sept 29- Oct 3, 2019 |
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Submodule I.2 Writing Research Proposal |
Oct 6-10, 2019 |
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Submodule II.1: Introduction to Quantitative Research |
Oct 13-17, 2019 |
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Submodule II.2: Data Entry and Analysis with Computer Applications |
Oct 20-24, 2019 |
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Submodule II.3: Advanced Statistics and SPSS Application |
Oct 27-31, 2019 |
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Submodule II.4: Analysis of Inequalities and STATA Application with Emphasis on Health Equity |
Nov 3-7, 2019 |
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Submodule III.1: Qualitative Research Approaches |
Nov 10-14, 2019 |
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Submodule III.2: Qualitative Research Tools |
Nov 17-Nov 21, 2019 |
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Submodule III.3: Using NVIVO in Qualitative Research |
Nov 24-Nov 28, 2019 |
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Submodule IV.1: introduction to Evaluation |
Dec 1- 5, 2019 |
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Submodule IV.2: Evaluation Designs and Analysis |
Dec 8- 12, 2019 |
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Submodule IV.3: Disseminating Research Results |
Dec 15- 19, 2019 |
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| Are you interested in registering in the Professional Diploma Degree, given that you should pass the course exams with a minimum of 60% in all exams and submit a thesis in the second semester. The diploma fee is US$750 in addition to the full course fee (US$3500)? |
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| 23. |
| Limited partial fee waivers are offered by SRC on a highly competitive basis to Egyptian nationals. Do you want a partial fee waivers? |
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| 24. |
Please explain below (50-200 words): how will you benefit from attending this training course, your future career objectives and how will this course help you achieve them? |
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