Thank you for your interest in Connect and Excel: MENA Research Confidence. Please complete this form: Name * First Name Last Name Email * Nationality * Organisation/University: * Confirmed Funding Source: Current job type/position, or course * If studying, expected Graduation: (Month/Year – your best estimate) MM DD YYYY A one-line summary of your research interest: * What sector are you currently mainly working/studying in? * Public Sector (healthcare provision) Academia Industry Private sector NPO Other What sector would you like to work in next? * Academia (e.g., next course e.g. PhD, or position e.g. postdoc) Industry (directly related to technical research skills, e.g., Pharma) Retrain for new industry (e.g., graduate schemes, bridging fellowships) Health Policy Consulting Entrepreneurship Medicine & Dentistry Other What is your vision for the next three years of your career? What do you most want to get out of this program? * Do you have any accessibility considerations to tell us so you can get the best experience out of the course? Referral Code (###) ### #### Thank you for applyingOnce we review your application, we will contact you about next steps. training@ariyad.co.uk
