Médecins Sans Frontières- Brussels & The Centre for Strategic Health Information and Operational Research, The Union, Paris
Operational Research Course - Application Form
COURSE CURRICULUM
Module 1a: Research questions and protocol development 2nd – 6th July 2012
Module 1b: Data management and data analysis 9th – 13th July 2012
Module 2: Writing a scientific paper May 2013
COURSE VENUE
Luxembourg city, Luxembourg
SECTION ONE
1. Applicant Information Please fill in your name exactly as it appears on your passport.
Title: Prof Dr Mr Ms Male Female
Family name (surname) First (given) name Home address City (+city code) Country Tel Fax E-mail
Place of work
Work address
City (+city code) Country Tel Fax E-mail
Citizenship (passport) Passport N° Date of birth Place of birth (city, country)
Current Profession (Job title):
Job Description
2. Knowledge of English Spoken: Excellent Good Average Written: Excellent Good Average
Up to what level have you studied English? * Number of years? * elementary school, secondary school, college/university, professional
3. Computer Literacy Word: Proficient Intermediate Beginner Never used Excel: Proficient Intermediate Beginner Never used Internet: Proficient Intermediate Beginner Never used Epi Info/EpiData: Proficient Intermediate Beginner Never used
How often do you use the computer in a week? How many hours in a day do you use the computer?
Kindly note that all participants are required to bring a laptop (Windows compatible, English keyboard) to the course
Being computer literate means daily usage of and familiarity with your PC