Request for assistance: Ebola Outbreak in the Democratic Republic of the Congo

                                                      

 

Request for assistance: Ebola Outbreak in the Democratic Republic of the Congo
Africa CDC is activating the African Voluntary Health Corps (AVoHC) to respond to the ongoing Ebola Virus Disease outbreak in the Democratic Republic of the Congo. Please fill in this form to indicate your availability. By completing this form you give consent for Africa CDC to store this information as part of the AVoHC database.
Title *
Given name *

Surname *

Gender *
Female
Male
Prefer not to say
Date of birth *
JJ

/
MM

/
YYYY

Nationality *

Country of Residence *

Working language(s) *
French
English
Arabic
Portuguese
Autre :

Email address *

Phone number (WhatsApp) *
Format: [Country code] [Phone number]

From what date are you available? *
JJ

/
MM

/
YYYY

For how many weeks are you available? *
4-6 weeks
7-12 weeks
more than 12 weeks
Current employer *

Type of employer *
Ministry of Health / National Public Health Institute
Non-Governmental Organisation
International Organisation
Autre :

Job title *

Area(s) of expertise *
Epidemiology / Surveillance
Microbiology / laboratory
Infection prevention and control
Data management
Social science
Communications
Social mobilisation
WASH
Autre :

Highest length of experience in area(s) of expertise (years) *

Highest qualification in area(s) of expertise *
High school
Bachelors degree
Certificate
Diploma
Masters
PhD
FETP Frontline
FETP Intermediate
FETP Advanced
Autre :

Other relevant skills

Have you had any previous deployments?  *
Yes
No
If yes, please give details of previous deployment(s)
Country / Year / Duration / Outbreak or Incident

Are you a member of any of the following African Union Rapid Response Teams (RRTs)? *
AVoHC (African Voluntary Health Corps)
ASEOWA (African Union Support to Ebola Outbreak in West Africa)
ERT (Africa CDC Emergency Response Team)
None of the above
Are you a member of any other National or International Rapid Response Teams (RRTs)? *
Yes
No
If yes, please give details of the RRT(s)
Name / Institution / Location / Contact details

Have you completed any Rapid Response Team training or Deployment training? (e.g. WHO, AFENET, EMPHNET, UNDSS) *
Yes
No
If yes, please give details of the training
Course provider / Course name / Date completed

Please now send your CV to AVoHC.recruitment@africa-union.org *
Done
I’ll send it
Autre :

Any other comments

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