Passionate about teaching healthcare colleagues?
Dear Colleague, 
We are motivated to create equitable learning & training opportunities for urban and rural healthcare providers with you. If you are considered an expert in medicine or a healthcare specialty, or can recommend your skilled colleague who is interested to share his/ her experiences we urge you to complete the form below and talk to us at your earliest convenience.
Thank you for your time
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Your Name *
E-mail *
Phone number *
Country of practice *
Are you considered an expert in your specialty or can provide expert trainings to colleagues? *
Your Medical/ Healthcare Specialization (Choose one from the options below or write your response in next question) *
Your Specialty (if you selected "other" in response to splty. question)
How do you practice? (you may multi-select)
Director
HOD
Professor
Consultant
Other
Government Hospital
Private Hospital
Training Center
Private Clinic
Private Medical College
Government Medical College
Other
Clear selection
Please provide a website link to your professional profile on LinkedIn or a website. (if available) 
How do you currently train/ teach colleagues? (you may multi select) *
Required
Please describe how you would like to teach/ train colleagues through MLH?
MLH can help create awareness about your program and provide a dedicated training listing and registration platform. 
*
Will this training be at a cost or free of cost to the learner?
*

Please select a date to discuss your teaching/ training program with MLH.

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YYYY
Please select a time to discuss your teaching/ training program with MLH. (in IST, when we can call you)
*
Time
:
Thank you for your time and we look forward to connecting with you shortly; please complete this form by clicking the submit button
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