IHP - HIV/AIDS Care and Treatment 2007

home

training

participant application

Participant Application
HIV/AIDS Care and Treatment	English	October, 2007 TBA	US $3500
This two-week HIV/AIDS workshop offers health care professionals working in HIV prevention and care at large as well as general internists the opportunity to share resources and strategies with regional faculty as well as faculty from the University of California, San Francisco (UCSF). ? Conducted at Lebanese AIDS Society (LAS) Beirut, Lebanon

All fields marked with a * are required:

First Name*

Last Name*

Sex*

Female Male

Nationality*

Languages*

Present Position*

For How Long

Name of Organization*

Mailing Address 1*

Mailing Address 2

City

State or Province

Postal Code

Country

Telephone*

Home Telephone

Fax

Email*

Education

Work Experience

Objectives of this workshop

Participants make presentations about their country, and their work, and develop a plan that can be implemented countries. We recommend that participants bring relevant documents and materials to be shared with the group.

Sponsoring Agency

Participants require sponsorship for all expenses related to the course. Once sponsorship has been obtained, please ask your sponsor to send us a letter of financial certification. If you have difficulties in obtaining a sponsor please visit our list of potential sponsoring agencies.

Sponsoring Agency*

Yes

No, I do not presently have a sponsor.

Name of Sponsoring Agency

Sponsor Address 1

Sponsor Address 2

Sponsor City

Sponsor State or Provence

Sponsor Postal Code

Sponsor Nation

Sponsor Contact

Sponsor Telephone