OpenHIE Community Meeting Scholarship Application Form
The OpenHIE Community Meeting will bring together Ministry of Health and Ministry of ICT leaders, experienced OpenHIE community members, developers of related health application software, and anyone new to the OpenHIE community who wants to learn more during a 5 day Community Meeting, Academy course and/or Hackonnect-athon. The event will take place at the Addis Ababa Hyatt Regency in Ethiopia 4-8 November 2019, find more details around sessions and the agenda at https://ohie.org/ohie19.

There will be a limited number of scholarships available, providing travel support for participants of this event. Those chosen for a scholarship should be active, motivated members of the OpenHIE community. Scholarship recipients should be ready to come to the Community Meeting, bringing ideas, experiences and lessons learned to share with other participants.

Please complete this form to apply for a Scholarship to the OpenHIE Community Meeting by 30 August 2019. No late applications will be accepted. Recipients of scholarships will be notified by 16 September 2019.

Email Address *
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First (Given) Name *
Your answer
Last (Family) Name *
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Organization or Affiliation *
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Title
Your answer
Role at Event *
Traveling From (City) *
Your answer
Traveling To (City) *
Your answer
Date Leaving to Return to City of Original Departure *
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