· Web viewRoom 2-37.2, Paraclinical Building. Department of Veterinary Tropical Diseases (DVTD)...
Transcript of · Web viewRoom 2-37.2, Paraclinical Building. Department of Veterinary Tropical Diseases (DVTD)...
Tel +27 (0)12 420 4111 Fax +27 (0)12 420 4555www.up.ac.zaUniversity of Pretoria, Private Bag X20,
Tel +27 (0)12 420 4111 Fax +27 (0)12 420 4555www.up.ac.zaUniversity of Pretoria, Private Bag X20,
Room 2-37.2, Paraclinical BuildingDepartment of Veterinary Tropical Diseases (DVTD)Faculty of Veterinary Science, University of Pretoria, Private Bag X04, Onderstepoort, 0110, South Africa
PRE-APPLICATIONInstitute for Tropical Medicine
University of Pretoria, Faculty of Veterinary ScienceCollaborative degree programme
Master of Science in Tropical Animal Health (MSc TAH)Complete this form accurately and legibly (typed).
Incomplete or illegible applications may not be consideredPlease ensure that e-mail addresses are correctly and eligibly entered
Note: The selection committee will advise successful candidates at which Institute they will be registered
SEND YOUR COMPLETED FORM TO:Department of Veterinary Tropical DiseasesFaculty of Veterinary ScienceUniversity of PretoriaPrivate Bag X04, Onderstepoort, 0110, SOUTH AFRICA
+27 12 529 8384 +27 12 529 8312 [email protected]
Institute of Tropical MedicineSecretariat MSTAHNationalestraat 1552000 Antwerpen, BELGIUM
+32 3 247 63 52 +32 3 247 62 68 [email protected]
DEADLINE FOR SUBMISSION:31 August preceding the year of registration
(Academic year is January to December)
Supporting documentation check list
1. Curriculum Vitae
2. Certified copies of ALL relevant previous qualifications
3. Certified copies of academic record
4. Certified copies of academic record (subjects and results)
5. Identity document or Passport
6. South African Qualifications Authority (SAQA) - see heading 11
7. Language proficiency (TOEFL) - see heading 11
Tel +27 (0)12 420 4111 Fax +27 (0)12 420 4555www.up.ac.zaUniversity of Pretoria, Private Bag X20,
Tel +27 (0)12 420 4111 Fax +27 (0)12 420 4555www.up.ac.zaUniversity of Pretoria, Private Bag X20,
Room 2-37.2, Paraclinical BuildingDepartment of Veterinary Tropical Diseases (DVTD)Faculty of Veterinary Science, University of Pretoria, Private Bag X04, Onderstepoort, 0110, South Africa
1. PERSONAL INFORMATION
Family name Maiden namefor married woman)
First names
Date of birth (dd/mm/yyyy)
Country of birth Nationality
Gender Male Female Marital status: Single Married Separated Divorced Widow/Widower
Postal address (where you can be reached during the next 12 months) (changes in address must be communicated immediately)
Email Telephone
Professional address
Email Telephone
2. EDUCATION2(A) University/higher education - undergraduate and postgraduate degrees (add lines where needed)
Institution Location & main language of instruction
Major field of study Qualification (degree)& date award
Datesdd/mm/yyyy(start– end)
Internship (as part ofthe education)
Location & main language of instruction
Field of activities Datesdd/mm/yyyy(start– end)
2(B) Additional training (Seminars excluded)
Institution Location & main language of instruction
Name of training course
Qualification (degree/certificate) &
date award
Datesdd/mm/yyyy(start– end)
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3. EMPLOYEMENT RECORD (in reverse chronological order; use additional sheets if necessary)
Present or most recent position
Employer
Locality (town & country)
Type of organisation Public Private NGO Other specify
Job title
Country and locality of job
Level of intervention Central Regional/Provincial District
Years of service(starting and ending date, dd/mm/yyyy)
from until
Type of work and proportion () (total should be 100%)
research … % teaching … % policy … % clinical work … %
program management … % Other-specify … %
Description of your present work, indicating your personal responsibilities (confine yourself to the given space)
Previous position
Employer
Institution Locality (town & country):
Type of organisation Public Private NGO Other specify
Job title
Country and locality of job
Level of intervention Central Regional/Provincial District
Years of service(starting and ending date, dd/mm/yyyy)
from until
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Type of work and proportion () (total should be 100%)
research … % teaching … % policy … % clinical work … %
program management … % Other-specify … %
Description of your past work, indicating your personal responsibilities (confine yourself to the given space)- -column will increase as you add info
Other (professional activities or past jobs)
If you had other responsibilities, not described above, mention those in the table below (only if 6 months duration minimum).The Selection Committee may ask additional information when assessing your application
Function (job title) Place/Country Description Period (start and end dates)
4. MOTIVATION (confine yourself to one page)
Why do you wish to attend the course, focusing on:a) Fields of study which have your particular interestsb) Where and how do you expect to apply the acquired knowledge
column will increase as you add info
Give a short description and analysis of a problem that you faced in your professional activity.(The problem should clearly be linked with the field of study you are applying for)-column will increase as you add info
5. REFERENCES
Give three references (no relatives or in-laws) who know your personality and your professional capacities
Full name and position of referees Contact details
Name E-mail
Position Telephone
Your relationship to this person Address
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Full name and position of referees Contact details
Name E-mail
Position Telephone
Your relationship to this person Address
Full name and position of referees Contact details
Name E-mail
Position Telephone
Your relationship to this person Address
6. LANGUAGE : ASSESSMENT OF COMPETENCE IN ENGLISH
For candidates from countries where the course language is different from their mother tongue, an officially recognised proficiency language certificate is mandatory: TOEFL/IELTS/British Council. The minimum requirement is a TOEFL score 580 (paper based), 230 (computer based), or an IETLS of 6.5. or equivalent unless you had a higher education in English.
7. PUBLICATIONS
List your publications with full references-column will increase as you add info
8. SOURCE OF FUNDING (Applicants are strongly advised to explore several sources of scholarships and to keep the course secretariat informed about the outcome of their applications)
1) I intend to submit an application for financial support at :
Name of organisation
Name of organisation
2) I have submitted an application for financial support :
Name of organisation
Contact person Date
Name of organisation
Contact person Date
3) Self-funded Yes No Research funds available Yes No Amount
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4) I plan/want to submit a scholarship application to the Belgian Directorate General for Development Co-operation (DGD)
Yes No (if yes, complete and sign page 8 of this application form)
CONDITIONS : Be aged under 46 Be a national of one of the following DGD beneficiary countries :
Afghanistan, Algeria, Angola, Bangladesh, Benin, Bolivia, Brazil, Burkina Faso, Burundi, Cambodia, Cameroon, China, Colombia, Cuba, Dominican Republic, DR Congo, Ecuador, El Salvador, Ethiopia, Gambia, Guatemala, Guinee, Guinee-Bissau, Haiti, Honduras, India, Indonesia, Ivory Coast, Kenya, Laos, Madagascar, Mali, Mauritania, Morocco, Mozambique, Namibia, Nepal, Nicaragua, Niger, Palestinian Territories, Peru, Philippines, Rep. of South-Africa, Rwanda, Senegal, Surinam, Tanzania, Togo, Uganda, Vietnam, Zambia, Zimbabwe
Have you applied for a DGD fellowship for this academic year at another institution? Yes No
If yes, specify
Have you received a DGD fellowship in the past? Yes No
If yes, specify the academic year, period of the course, institution, name of the course and field of study
5) I want to submit an application for partial financial support to the Institute of Tropical Medicine (for EU applicants only)
Yes No (if yes, enclose your application letter)
6) Website for other opportunities http://www.up.ac.za/fees-and-funding/article/262104/postgraduate-funding
NOTE : YOUR ACADEMIC SELECTION FOR THE COURSE DOES NOT GUARANTEE THE AWARD OF ANY SCHOLARSHIP
9. SOURCE OF INFORMATION
I learned about this course through ( where appropriate)
brochure an advertisement website the Belgian / South African Embassy
a staff member alumni other
I certify that the information contained in this application form is true, complete and correct
Date Signature
10. RESEARCH
Field of interest ( ONLY 1 or 2)
Bacteriology Ectoparasitology Helminthology Immunology
Molecular Biology Parasitology Protozoology Virology
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Field of interest - DVTD Research Themes ( ONE of the following themes)
Arthropod-borne viruses
Bluetongue virus
African horse sickness virus
Rift valley fever virus
Parasite/host/vector interaction in southern Africa
Ticks and tick-borne diseases
Theileriosis
Anaplasmosis
Babesiosis
Ehrlichiosis`
Tsetse and trypanosomosis
Endoparasites of domestic animals and wildlife
Coccidiosis
Filariasis
Helminths of small ruminants
One Health in Transfrontier Conservation Areas in southern Africa
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Zoonoses
Bacterial
Anthrax
Tuberculosis
Brucellosis
Parasitic
Toxoplasmosis
Rickettsial infections
Viral
Rift valley fever virus
Infectious diseases at the wildlife/domestic animal interface
Foot-and-mouth disease
Malignant catarrhal fever
Rabies
Canine distemper
Possible research project (if any) column will increase as you add info
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11. IMPORTANT INFORMATION
Note 1 : PROJECT FUNDING
Web-based MSc required fundingThis project may be a retrospective study, or embrace work you have already done, but not published, or work that you are currently busy with, or it can involve a survey of some kind, or a new project discussed with and approved by your supervisor. Depending on the type of project it can be at almost no cost or, if a new project must be done, the cost could range from R 50 000 to R 70 000 (project only).
Note 2 : STUDENTS WHO HAVE COMPLETED THEIR STUDIES AT UNIVERSITIES OUTSIDE SOUTH AFRICA
SAQAPostgraduate applicants must have their qualifications evaluated by SAQA (South African Qualifications Authority).
Application and more information : http://www.saqa.org.za/
TOEFL : Language proficiency (TOEFL test)In order for international students to fit into both the academic and social environment, they need to be conversant in English.All international applicants whose first language is not English, will have to write and pass the TOEFL test.
Application and more information : http://www.ets.org/toefl/
Note 3 : COMPUTER LITERACY
The newer and more robust your computer, the faster and more efficient you will be as an online student. This means the more access power you have in your computer, modem, and Internet service provider, the more efficient you’ll be.
Note: Access to a computer at work or at home is required - working from an Internet cafe is not adequate when you register for the degree programmeThe minimum computer specifications you should consider are:
Windows 98SE, 2000, XP, Vista; Apple OS X or Linux 2 2 GB FREE on hard disk drive 512 MB of RAM Broadband: ADSL or 3G Browsers: Internet Explorer 7 + or Mozilla 3.0 +
You will also need an Internet Service Provider to connect you to the Internet.
The minimum computer skills required are:The web-based nature of the modules implies that you require certain basic computer skills in order to successfully participate in the online module for CPD. Competence in written English is also important. Word processing: Create, edit and save an MSWord document on your computer E-mail: Receive, open and send e-mail, and attach documents to an e-mail message Using the internet: Use a browser (e.g. Internet Explorer) to access the internet, conduct searches, download and upload
documents Installing software: Install and uninstall software on your computer PowerPoint presentations: For some modules you will be required to create a basic MS PowerPoint presentation
I,
hereby confirm that I comply with the minimum requirements as stated above.
Signature Date
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Room 2-37.2, Paraclinical BuildingDepartment of Veterinary Tropical Diseases (DVTD)Faculty of Veterinary Science, University of Pretoria, Private Bag X04, Onderstepoort, 0110, South AfricaTel +27 (0)12 529 8384Fax +27 (0)12 529 8312Email [email protected]
12. Annexure - Provisional indication of module selection
Indicate modules you wish to select over the two years by next column and indicate which year you intend to do it.
YEAR 1 (2016)
1st semesterCore modules
Year Modules UPcredits
ITMcredits Credits
2016
Induction: A two week orientation at DVTD and Hans Hoheisen. Will include sessions on key computing, library, study and research skills. Aspects of the Research Methodology (3 of the 9 credits) (1 of the 3 ECTS) and One Health: Basic concepts (6 of the 12 credits) (2 of the 4 ECTS) modules will also be presented (face-to-face) during this time.
2016 Research methodology 9 3
2016 One Health: Basic concepts 12 4
2016 Basic Epidemiology 12 4
2016 Laboratory Diagnostics 9 3
Sub-total credits
Core 42Electives 48Dissertation (research) 90TOTAL 180
2nd semesterTheory-based elective modules
Year Modules UPcredits
ITMcredits Credits
Advanced One Health 12 4
Animal Health Management: High Impact and EmergingDiseases
12 4
Ticks and Tick-borne diseases 9 3
`
Skills-based elective modules(a maximum of two may be elected)
Applied Veterinary Bacteriology 9 3
Applied Molecular Biology 9 3
Applied Serology 9 3
Applied Veterinary Virology 9 3
Selected Tick identification 9 3
Applied Veterinary Helminthology 9 3
Applied Epidemiology 9 3
Sub-total credits
YEAR 2 (2017)
1st semesterTheory-based elective modules
Year Modules UPcredits
ITMcredits Credits
Advanced One Health: Policy 12 4
Advanced One Health: Public Health 12 4
Advanced Epidemiology 12 4
Surveillance and Survey Methodology 12 4
General Vector-borne diseases 9 3
Sub-total credits
2nd semesterTheory-based elective modules
repetition of previous year to make provision for the 2017 intake Year Modules UP
creditsITM
credits Credits
Advanced One Health 12 4
Animal Health Management: High Impact and Emerging Diseases
12 4
Ticks and Tick-borne diseases 9 3`
Skills-based elective modules(a maximum of two may be elected)
Applied Veterinary Bacteriology 9 3
Applied Molecular Biology 9 3
Applied Serology 9 3
Applied Veterinary Virology 9 3
Selected Tick identification 9 3
Applied Veterinary Helminthology 9 3
Applied Epidemiology 9 3
Sub-total credits
TOTAL
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