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Social Research Center
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   I- Personal Information

 01.  Apply for  
 02.  Name  
 03.  Title  
 04.  Sex  
 05.  Date of brith  
 06.  Age in completed years  
 07.  Address for correspondence  
 
  Address  
  City  
  Country  
  Postal Code  
  Telephone  
  Fax  
  Email  
 
 08.  Nationality  
 09.  Country of origin  
 10.  Overall, how many years have you worked since your last degree?  
     
 11.  Current employCurrent employment status
 12.  Name of current employer  
 13.  Current employer’s address including email, phone and fax.  
 
  Address  
  City  
  Country  
  Postal Code  
  Telephone  
  Fax  
  Email  
 
 14.  With which type of organization is your primary affiliation (Check only one)?  
     
  Other Organization Type  
 15.  Current position title  
 16.  How many years have you worked in this position?  
      
 17.  In which area(s) do you specialize?  
     

   II- Educational Background and Skills

 18.  In the table below, indicate the degrees you completed starting from university  
 
Degree completed Institute from which you completed degree
(Name and location)
Year you completed degree Field of study
 
 19.  In the table below, please list the type of population/ health trainings or workshops you have attended in the last five years.  
 
Type of Training Year Duration Institution and Location
 
 20.   English Knowledge  
   Rate your ability to follow lectures in English:  
   Rate your ability to communicate in English  
   Rate your ability to write in English  
 21.  Computer Skills  
 
  Microsoft Word  
  Microsoft PowerPoint  
  Microsoft Excel  
  Microsoft Access  
  EPI-Info  
  SPSS  
  Stata  
 

   III- Course Information

 22.  How did you hear about this training workshop? (you can check more than one answer)  
 



 
 
 23.  What is(are) the module(s) you want to attend?  
  
  Module Duration Fees**
Module I: Development Challenges in Arab Countries and Introduction to Social Research Three weeks EGP 6,000
Module II: Quantitative research Four weeks EGP 6,000
Module III : Qualitative Research) Two weeks EGP 6,000
Module IV: Policy recommendation and evaluation Three weeks EGP 6,000
Three Months Training Program Twelve weeks EGP 18,000
   * If you are applying for more than one module the cost will be calculated; number of training weeks multiplied by EGP 1,500 L.E with a minimum of EGP 6,000  
 24.  Do you want to apply for a scholarship to attend this course?   
   (Applicants in need of financial assistance in paying tuition and/or living expenses are advised to approach the international and regional agencies. Limited full and partial scholarships are offered on a highly competitive basis)  

   IV- Scholarship application

 25.  What is the type of the scholarship you want to apply for?  
 




 
 26.  What type of nomination do you have to attend this course?   
  If the nomination is institutional, kindly email a nomination letter to explain the importance of the scholarship for the institution and the nominee  
 27.  Have you ever applied for a training course at SRC?   
 28.  Have you ever attended a training course at SRC?   
 29.  Have you ever attended research methods training course outside SRC?   
   If yes, where, when, and how long was its duration?    
       
 30.  Have you ever published scientific papers in peer reviewed journal?  
  



 
   If yes, pleases name a maximum of three articles from your publications  
    
 31.  31. What are your current job duties?  
    
 32.  Do your job duties include teaching research methods?   
 33.  Do your job duties include implementing, supervising research field work?    
 34.  Do your job duties include interpreting or analyzing research results?   
 35.  Please explain below (50-200 words): how will you benefit from attending this training course, you future career objectives and how will this course fit your objectives?  
   
   Please provide a recommendation letter (a letter from a previous trainee is welcomed)