ProgramCentreRegistrationApplication

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Applicant Information

Service Type:

Centre Registration

Centre:

City:

Email Of Representative Hosted Hospital:

Mobile: "+966"

List 3 – 5 Objectives of Your TOT-Go Workshop:

List Your Target Audience:

Note: You have to select two consecutive days

Indicate the Target Date (s):

Select a date

...

Method of Delivery:

Describe in Less Than 300 Words How Can You Ensure the Effectiveness of The Workshop:

Describe in Less Than 300 Words How Can You Ensure the Authenticity and Protect the Intellectual Property of The Material Involved:

Describe in Less Than 300 Words How This Workshop Fits in Your Residency/Postgraduate Training Curriculum, Framework Objectives and Outcome Competencies (CanMEDS, SaudiMEDS, etc.):

Describe in Less Than 300 Words How to Monitor The Positive Impact of The Workshop on The Daily Practice of The Participants:

Describe in Less Than 300 Words How This Workshop Fits in Your Overall Faculty Development Program:

Describe in Less Than 300 Words How This Workshop Will Help Achieve Better Public Health and Well-Being:

Please Declare Any Conflict of Interest:

An official letter from DIO must be attached

Click here to attach a file

Facilitators / Co-Facilitators?

SCFHS Approval

Facilitator Name

CV

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