GFMER Sexually transmitted infections, HIV/AIDS Course 2018 - Application Form
The Geneva Foundation for Medical Education and Research (GFMER) in collaboration with the World Health Organization (WHO) and other partners announces the online training course on Sexually transmitted infections, HIV/AIDS.

Course objectives:
• To provide knowledge and skills on the prevention, control and treatment of the sexually transmitted infections (including HIV /AIDS) to health care providers (doctors, nurses, midwives, public health specialists).
• To enhance the knowledge and skills of health care providers in implementing STI programs, conduct training and research in STIs and HIV /AIDS.


Course duration: 8 weeks (10 September - 2 November 2018)
Course fee: USD250

Application deadline: 12 August 2018
Payment deadline: 3 September 2018

Course website:
https://www.gfmer.ch/SRH-Course-2018/sti/index.htm

Course email:
sti@gfmer.org

Brochure:
https://www.gfmer.ch/SRH-Course-2018/pdf/Brochure-2018.pdf

To apply for the course, you should submit this completed application form and send the required enclosures to the course email:
1. Curriculum vitae
2. A copy of your diploma (s)
3. A letter of motivation stating clearly your interests and reasons for applying to the Course (1-2 pages maximum).

Family name (surname) *
First/other names *
Gender *
Date of birth *
MM
/
DD
/
YYYY
Place and country of birth *
Present nationality *
Country of residence *
Professional address *
Telephone number with country and area codes
Fax number with country and area codes
E-mail address *
(Please input only ONE valid email address.)
Profession *
Present position *
Period (month/year), title, institution
Previous positions *
Period (month/year), title, institution
Highest Qualification *
(e.g. MD, Ob/Gyn ; MPH ; MBBS ; PhD ; FWACS, Ob/Gyn ; BA; BSc, Certificate; Diploma; etc.)
Education *
Give details in chronological order (date, name of the institution and title of degrees/certificates). Include courses and postgraduate studies in your professional field
Specialty and subspecialty certifications
Professional affiliations/memberships
List of publications
Mother tongue *
English language skills - Speaking *
English language skills - Writing *
English language skills - Reading *
Financing *
If you are accepted to the Course, please indicate, who will finance your participation in the Course
How do you know this course? *
Are you interested in taking other courses in 2018?
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy