Application
F orm
f or
T raining
W orkshop
o n
E vidence-‐Informed
P olicy-‐Making
Other
i mportant
Responses
information/comments
Personal
I nformation
Name
Date
o f
B irth
Email
Telephone
Education
PhD
Masters
Bachelors
Other,
p lease
s pecify
Present
P osition
Job
T itle
Unit
Division
Directorate
Institution
Duration
i n
p osition?
Describe
p olicy-‐making
role
i n
c urrent
p osition
Computer
S kills
Rate
y our
c omputer
s kills
i n
t he
f ollowing
( 1-‐Poor,
2 -‐Good;
3 -‐Excellent)
MS-‐Word
MS-‐Excel
MS-‐PowerPoint
MS-‐Access
MS-‐Outlook
I nternet
Search
e ngines
u sed
a nd
frequency
o f
u se
Your
J ob
R esponsibility
Rate
t he
f requency
t hat
y ou
h ave
t o
c arry
o ut
t he
f ollowing
t asks
( 1-‐Daily;
2 -‐Once
e very
w eek;
3 -‐Once
every
m onth;
4 -‐Rarely):
Search
f or
r esearch
r eports
in
t he
l ibrary
Search
f or
r esearch
r eports
on
t he
I nternet
1