Application for 'Basics of Health Reporting: Nutrition as a Source of News' workshop
Please complete this form in order to apply for Nestlé Pakistan and the Centre for Excellence in Journalism's "Basics of Health Reporting: Nutrition as a Source of News" workshop on April 1, 2019. During this one-day workshop, classes will run from 9:30 am to 6 pm in Lahore (venue to be announced later). Accepted participants must be available to attend the entire training.

This training is open to journalists based in Lahore and other areas of Punjab. Preference will be given to those covering health and nutrition beats.

All applications must be received by March 21, 2019. Accepted attendees will be notified via email as soon as possible.

Name? *
Please provide your full legal name as it appears on your CNIC card.
Your answer
Organization? *
Where do you work?
Your answer
Position? *
What is your title/position at this organization?
Your answer
City? *
What city will you be traveling from?
Your answer
Email? *
Provide your email address
Your answer
Email 2?
Provide only if you have a secondary or personal email you wish to be contacted on.
Your answer
Phone number? *
Please provide the primary number you wish to be contacted on.
Your answer
Facebook account? *
Please provide your Facebook account name or link in the 'other' field. If you do not have an account, choose 'I do not have an account'.
Twitter handle? *
Please provide your Twitter account name or link in the 'other' field. If you do not have an account, choose 'I do not have an account'.
LinkedIn account? *
Please provide your LinkedIn account name or link in the 'other' field. If you do not have an account, choose 'I do not have an account'.
Date of Birth? *
Please provide your date of birth.
MM
/
DD
/
YYYY
CNIC Number? *
Please provide your CNIC number.
Your answer
Gender? *
Please indicate.
Are you a CEJ alumni?
Have you participated in any workshop or training at CEJ?
If you answered 'Yes' to the previous question, name the workshop/training that you attended
Briefly write down the name and date of the CEJ workshop or training you attended
Your answer
How many years of experience do you have as a journalist?
How long have you been working in the journalism industry?
Do you have experience in reporting on health issues? *
If you answered 'Yes' in the previous question, kindly share links to your stories on health issues below:
Your answer
Why do you want to participate in this training?
How will this course benefit you? Why do you want to attend and what do you expect to get out of the training?
Your answer
Please provide names and contact information of three references.
References may be contacted.
Your answer
Is your attendance nominated by your employer? *
Are you being sent by your organization? Freelancers and journalists not nominated by their employers are encouraged to apply.
If you answered 'yes' to the previous question, please provide us the name of the person nominating your application.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service