AfreHealth - Institutional Registration Form

Menu

Home
About us
Partners
Activities
- COVID-19
  News Updates
  Documents
- STRIPE
Conferences
Media
Resources
Registration
- Individual Membership Form
- Institutional Registration Form
Contact us

Institutional Membership Form

Name of Institution(*)

Invalid Input

Principal area of operation / activity (Please tick or type where applicable)

EDUCATION

(i) Health(ii) Sciences(iii) Liberal Arts(iv) Law Invalid Input

Others – supportive (funding, logistics)

Invalid Input

RESEARCH

(i) Health (ii) Sciences(iii) Education Invalid Input

Other(s) – support (funding, logistics)

Invalid Input

Applied Professions / Disciplines (Nutrition/Dietetics, Physiotherapy, Rehabilitation, Social Works, etc.)

Invalid Input

Non-profit / Non-Government Organizations – NGO (specify type)

Invalid Input

Other(s) (specify details, etc.)

Invalid Input

Address of Institution

Physical / Legal address (Street, City, Country)

Invalid Input

Official Contacts (Telephone, Website / e -mail address , etc.)

Invalid Input

HQ address in Africa (o cially registered)

Invalid Input

HQ address (International, outside Africa)

Invalid Input

Status of Applicant

GovernmentPrivateBusiness Invalid Input

Other (specify)

Invalid Input

Source(s) of funding for over-all operationa of the Applicant (etc.)

GovernmentPrivate Invalid Input

Other, Specify

Invalid Input

How does your insitution hope to benefit from AFREhealth membership?

Invalid Input

How do you think AFREhealth will benefit from your membership?

Invalid Input

Name

Invalid Input

E-mail(*)

Invalid Input

Position

Invalid Input

Signature

Invalid Input

Date

Invalid Input

Latest News

Fogary Newsletter June 2020: "Fogarty Community Responds to COVID-19 in Many Ways" 15 July 2020

SHORT COURSE - INTRODUCTION TO GLOBAL HEALTH 15 July 2020

High flow Nasal oxygen treatment instead of ventilators see COVID-19 recoveries in Cape town 10 June 2020

Has COVID-19 subverted global health? 10 June 2020

AFREhealth Condemns Racism Statement 06 June 2020

About us

The African Forum for Research and Education in Health (AFREhealth) is an interdisciplinary health professional grouping that seeks to work with Ministries of Health, training institutions and other stakeholders to improve the quality of health care in Africa through research, education and capacity building.

Recent Podcasts

Episode 5: Preparation of facilitators
Episode 4: Common workshop challenges
Episode 3: Running small groups
Episode 2: The workshop process
Episode 1: Introduction and background

Contact Us

Tel: +233508351306 / +233555324168
Email: afrehealth@gmail.com | info@afrehealth.org

Copyright © 2020 The African Forum for Research and Education in Health. All Rights Reserved.

Home
About us
Partners
Activities
- COVID-19
  - News Updates
  - Documents
- STRIPE
Conferences
Media
Resources
Registration
- Individual Membership Form
- Institutional Registration Form
Contact us