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KidneyGenAfrica | Chronic kidney disease Africa | Genetics research in Africa | Capacity building and training Africa
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Malawi Workshop Application Form
Malawi Workshop Application Form
KidneyGenAfrica Workshop Application
Name Forename
Full Name
*
Institution affiliation
*
Select an option...
Diagnostic Centre
Hospital
Government
Independent
Laboratory
Pharmacy
Public Health Institute
Research Institute
University
Other
Other type of institution affiliation
If you selected "Other" for institution affiliation, please specify below:
Name of institution
*
Primary country of work
*
Other countries of work, if applicable
Highest degree obtained
*
Are you currently enrolled for a degree, diploma or other qualification?
*
Select an option...
Yes
No
If yes, what degree?
Please describe your current job.
*
Word limit: 300
Please describe your kidney-related research activity.
*
Word limit: 300
Field of expertise
*
Please list your fields of expertise, e.g., Genetics/Genomics, Computational/Bioinformatics, Clinical, Laboratory, Public Health, Epidemiology, Proteomics, Metabolomics, Ethics and governance,
Why are you interested in applying for this course and what do you hope to gain from it?
*
Word limit: 300
How would you use the knowledge and skills gained from the course over the next two years?
*
Word limit: 300
Please upload a recommendation letter from your supervisor.
*
If you do not submit a recommendation letter, your application will not be considered. Please use your full name in the document title.
Email address
*
Gender identity
*
Select an option...
Male
Female
Prefer not to say
Prefer to self-describe
If you prefer to self-describe your gender identity, please respond in the space below.
Please ensure you have filled out all required fields.
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