The Eastern Africa Consortium for Clinical Research

P.O Box 49, Entebbe (Uganda)

Tel: +256 414320809 or +256 414322016 or
+255-2727-54201
Uganda Virus Research Institute
Email: directoruvri@uvri.go.ug

HIV Node
Epidemiology/Biostatistics Short Course-Application form

This form is to be completed by applicants for the short course in Epidemiology and Biostatistics. All applications
should be sent via email to smusoke@uvri.go.ug and copy to jnanseko@uvri.go.ug by the 13th December 2019
16:00 Hours (EAT)

Applicants should seek endorsement of their application through their respective Nodes. Normally training
opportunities are distributed to each of the five nodes of EACCR-2 (i.e. TB Node, HIV node, Malaria node, Neglected
Infectious diseases node and the Training node) in the six countries. Successful applicants will be notified via their
respective Node coordinators. Selection will be based on merits such as evidence of career path, usefulness of the
course to the candidate’s career and the likelihood of applying the learned knowledge/skills.

1 Title of Course (or short Epidemiology/Biostatistics Short Course

course) applied for

2 Applicant’s personal particulars

a) Full name as it
appears on
certificates/passport
b) Surname
c) Sex (male/female)
d) Nationality
e) Email address
3 Employment
What is your current
employment

Please describe your daily

activities in the current
employment

4 University / College training (Please list University/College trainings starting with the most recent)
Year Institution Qualification /award
a)
b)
c)
5 Relevance of the course applied for to your career (Please describe shortly your career and why you think
the course you have applied for is suitable to your career and how you expect to use the obtained
 The Eastern Africa Consortium for Clinical Research

P.O Box 49, Entebbe (Uganda)

Tel: +256 414320809 or +256 414322016 or
+255-2727-54201
Uganda Virus Research Institute
Email: directoruvri@uvri.go.ug

HIV Node
Epidemiology/Biostatistics Short Course-Application form

knowledge and skills) – this section requires a concise yet detailed response as it is used to select
successful applicants.

6 References (please provide name and email addresses of 2 persons that can act as your referees)
a)
b)

7 Declaration

Applicant`s signature and date

Attachments

1. CV – please attach detailed up-to-date curriculum vitae

2. Recommendation letter from Node Coordinator or Node Coordinator Representative

NB: After training EACCR2 will keep tracking all trainees to find out of the application of the knowledge and skills
obtained under such trainings. Please provide a reliable/permanent email address.

All applications should be sent addressed to:

Ms. Saidat Namuli Musoke via email address smusoke@uvri.go.ug and copy to jnanseko@uvri.go.ug
before 13th December 2019, 04.00hrs EAT.

EACCR2 is part of the EDCTP2 Programme supported by the European Union under grant
agreement RegNet2015-1104-EACCR2
 The Eastern Africa Consortium for Clinical Research

P.O Box 49, Entebbe (Uganda)

Tel: +256 414320809 or +256 414322016 or
+255-2727-54201
Uganda Virus Research Institute
Email: directoruvri@uvri.go.ug

HIV Node
Epidemiology/Biostatistics Short Course-Application form