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Community Engagement Regional Master Training (Monrovia, Liberia - April 25-29, 2022) - Participant Registration Form
Please complete all required sections. If you have any questions, please contact
mpalacios@savechildren.org
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* Indicates required question
Prefix
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Ms.
Mrs.
Mr.
First Name
*
Your answer
Surname/Last Name
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Your answer
Sex
*
Choose
Female
Male
Prefer not to say
Nationality
*
Your answer
Country where you are currently working
*
Your answer
Employer/organization/Ministry
*
Your answer
Your current position/role
*
Your answer
Years working in community engagement programming
*
Less than 5 yrs
6-9 yrs
10+ yrs
Highest level of education
*
Bachelors
Masters
Doctorate
Other:
How would you describe community engagement?
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Your answer
What are your expectations of the Community Engagement Regional Master Training?
*
Your answer
Are you self-funding your trip and expenses? (If a Breakthrough ACTION country team is coordinating your trip, your answer is likely No)
*
Yes
No
Email
*
Your answer
Mobile number
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Your answer
Is there anything else that you would like to share with the training facilitators?
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