Ebola/IPC Training

Please note that this training is specifically for bedside medical personnel (doctors and nurses) and WASH staff.
Filling out this survey does not guarantee that you will attend the training, if you meet the requirements an invitation may be extended.
1.Name(Required.)
2.Email address:(Required.)
3.What Roster are you a part of:(Required.)
4.Have you attended IPC/Ebola training before?(Required.)
5.If yes, what year?
6.Are you willing and available to deploy to an active Ebola response for 4 weeks + potentially self monitor/quarantine for 3 additional weeks?(Required.)
7.Do you have a yellow fever vaccine?(Required.)
8.Are you able to meet requirement of taking Malaria prophylaxis?(Required.)
9.Some roles during this response require wearing full-body PPE for periods of up to one hour. Are you physically able to perform these duties?(Required.)
10.Which DART Role do you deploy as if you have deployed before?(Required.)