Application - Health Grant Initiative 2021
Instructions: Please fill this form carefully and completely. Fields marked with and Asterix (*) are mandatory. Make sure you meet the eligibility criteria of the grant before applying. Kindly attach all documents requested. Applicants will not be allowed to make any changes in their application once the application file has been uploaded. You can save your work done on your application form and continue later.

ShapeApplications deadline is scheduled for 20th September 2021 at 11:59 PM (GMT+1). Applications shall not be received after this deadline.

  • BAKGROUND INFORMATION (Renseignements de base)

    Personal Information (Renseignements personnels)
  • / /

  • CONTACT INFORMATION (Contact de base)

  • Education (Etudes)

  • PROFESSIONAL EXPERIENCE (EXPÉRIENCES PROFESSIONNELLES)

    *Please upload the most recent copy of your curriculum vitae (CV) (document could be uploaded as pdf, doc and docx files, and should have a maximum size of 2mb).

  • RESEARCH EXPERIENCE (EXPERIENCE DE RECHERCHE)

    *Please upload a full list of peer review publications you have authored or co-authored. Each publication should consist of; the publication title, the full list of authors (with yours underlined), the publication journal, the year of publication and the digital object identifier (DOI). (Documents could be uploaded as pdf, doc and docx files, and should have a maximum size of 2mb).

  • MOTIVATION
    (MOTIVATION)

    *Briefly, but concisely explain why you think funding and support should be provided by the health research grant, to carry out your research work. (maximum word count of 250 words)

  • SUMMARY OF THE PROPOSAL

  • Kindly summarize your research in not more than 150words

  • DETAILED PRESENTATION OF THE PROPOSAL

  • Which needs does your research meet? What are the main problems identified? (Not more than 250 words)
  • Kindly provide details of how the methodology shall be implemented to attain the set objectives. (e.g; study area, design, sampling technique, data management and analysis etc.) not more than 750 words
  • Kindly provide details about the planned activities (not more than 500 words page)
  • Indicate the limitations that may impede the research and how you plan to overcome the limitations. (5 lines maximum)
  • Explain how the monitor and evaluation process of the research shall be done. (not more than 150 words)

  • DOCUMENTS TO UPLOAD

    You must attach the following document to the form:
  • Detailed budget and justification to justify the costs presented, providing calculations to demonstrate how amounts were determined.

  • DECLARATION