{"id":4733,"date":"2023-11-29T13:45:25","date_gmt":"2023-11-29T12:45:25","guid":{"rendered":"https:\/\/vscr.at\/public-health\/registration-subsahara\/"},"modified":"2023-11-29T13:45:25","modified_gmt":"2023-11-29T12:45:25","slug":"registration-subsahara","status":"publish","type":"page","link":"https:\/\/vscr.at\/en\/public-health\/registration-subsahara\/","title":{"rendered":"Registration for MODULE I-VII"},"content":{"rendered":"<h2>VSCR Health Economics and Outcomes Research Diploma (HEOR) Program for Sub-Saharan Africa<\/h2>\n<p><strong>Speaker:<\/strong> Prof. Lieven Annemans, Ghent University, Belgium<br \/>\n<strong>Platform:<\/strong> ZOOM <em>(Link will be provided one week before training)<\/em><\/p>\n<p><a href=\"https:\/\/vscr.at\/public-health\/inscription-subsahara\/\">Inscription en fran\u00e7ais \u00bb<\/a><\/p>\n\n                <div class='gf_browser_gecko gform_wrapper' id='gform_wrapper_90' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_90'  action='\/en\/wp-json\/wp\/v2\/pages\/4733'>\n                        <div class='gform_heading'>\n                            <h3 class='gform_title'>Registration form for MODULE I-VII - Subsahara<\/h3>\n                            <span class='gform_description'><\/span>\n                        <\/div>\n                        <div class='gform_body'><ul id='gform_fields_90' class='gform_fields left_label form_sublabel_below description_below'><li id='field_90_13' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Gender<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_90_13'><li class='gchoice_90_13_0'><input name='input_13' type='radio' value='Male'  id='choice_90_13_0' tabindex='1'    \/><label for='choice_90_13_0' id='label_90_13_0'>Male<\/label><\/li><li class='gchoice_90_13_1'><input name='input_13' type='radio' value='Female'  id='choice_90_13_1' tabindex='2'    \/><label for='choice_90_13_1' id='label_90_13_1'>Female<\/label><\/li><\/ul><\/div><\/li><li id='field_90_1' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_90_1' >Surname<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_90_1' type='text' value='' class='medium'  tabindex='3'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_90_2' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_90_2' >First name<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_90_2' type='text' value='' class='medium'  tabindex='4'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_90_4' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_90_4' >Date of birth<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_4' id='input_90_4' type='text' value='' class='datepicker medium dmy_dot datepicker_no_icon' tabindex='5'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_90_4' class='gform_hidden' value='https:\/\/vscr.at\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_90_5' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_90_5' >Email<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_5' id='input_90_5' type='text' value='' class='medium' tabindex='6'   \/>\n                        <\/div><\/li><li id='field_90_6' class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_90_6' >Academic Title(s)<\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_90_6' type='text' value='' class='medium'  tabindex='7'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_90_7' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_90_7' >Specialty<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_90_7' type='text' value='' class='medium'  tabindex='8'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li 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><label class='gfield_label'  >Your setting is (please tick what describes it best)<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_90_14'><li class='gchoice_90_14_0'><input name='input_14' type='radio' value='University-based or university-affiliated'  id='choice_90_14_0' tabindex='13'  onclick='gf_apply_rules(90,[20]);' onkeypress='gf_apply_rules(90,[20]);'  \/><label for='choice_90_14_0' id='label_90_14_0'>University-based or university-affiliated<\/label><\/li><li class='gchoice_90_14_1'><input name='input_14' type='radio' value='Government'  id='choice_90_14_1' tabindex='14'  onclick='gf_apply_rules(90,[20]);' onkeypress='gf_apply_rules(90,[20]);'  \/><label for='choice_90_14_1' id='label_90_14_1'>Government<\/label><\/li><li class='gchoice_90_14_2'><input name='input_14' type='radio' value='Health Technology Assessment (HTA) organization or similar'  id='choice_90_14_2' tabindex='15'  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ginput_container_textarea'><textarea name='input_20' id='input_90_20' class='textarea small' tabindex='18'    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_90_15' class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_90_15' >Further comments on your current and future professional activities\/career (optional)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_15' id='input_90_15' class='textarea medium' tabindex='19'    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_90_16' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Have you already participated in any VSCR or SFU training?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' 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I also accept that my name and address information will be communicated to fellow students, teaching staff and persons responsible for academic services. I agree that my name and photograph material in which I appear may be used for VSCR-SFU marketing activities. I may at any time withdraw this consent by giving notice in writing to the program director. If I join, I agree to attend the course to the dedicated time (monthly) and to complete the exercises in order to gain a certificate. &lt;br \/&gt;Upon submission of the application form, I agree that the application form becomes binding. By submitting this form, I confirm the accuracy and completeness of my statements.'  id='choice_90_19_1' tabindex='23'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_90_19_1' id='label_90_19_1'>o\tYes, I accept that the personal data I have provided above will be processed for organizational and administrative purposes. 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