Online-Questionaire on Roster of Experts in Hazardous Waste

Online-Questionaire for Roster of Experts in Hazardous Waste and Chemicals Management in Africa


Questionnaire Instructions

IMPORTANT: Read the instructions carefully before submitting your information.

Quality Submissions: It is the responsibility of the submitter to ensure completeness of the information -- if submitted information is incomplete, it may not be included. The quality of your entry will stand as a testimony to your expertise, just as a curriculum vitae would.

Contact Information: What is most critical is that you provide contact information which will help contact you readily. 

Filling: Please fill the form out CAREFULLY and ensure that your submission is as you wish it to remain. 

If your information does not appear in the Directory immediately, don't be concerned; our target is to update the Directory no less frequently than once every six months.

If you are uncertain of your being an appropriate candidate for inclusion in the Roster, or if you are in need of further clarifications, please feel free to send us an email.

Thank you.

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* Required information.
Title *
Surname *
First name *
Middle name
Gender *
Nationality *
Main Field of Expertise: *
Areas of Expertise: *
Additional Areas of Expertise: *
Scholarly Credentials with dates (starting with highest degree): *
Profile of Qualification and Expertise (In the space provided (150 word max.), give a general description of your backgroundand experience that will allow users to quickly assess the relevance of your expertise): *
What area would you consider on a consulting basis? *
Languages Abilities: (List of languages spoken and Native language) *
Location (give city and country): *
Country: *
Contact Information: *
Currently employed at (Institutional affiliation): *
Position held (Assoc. Prof., Director, Senior Consultant…): *
Office Address: *
Office Telephone/Fax: *
E-mail Address: *
Should we include your e-mail in Roster of Expert? *
Yes! Include e-mail in Roster of Expert
No! E-mail provided only for communication with BCCC-Africa
Skype name:
Should we include your Skype name in Roster of Expert?
Yes! Include Skype name in Roster of Expert
No! Skype name provided only for communication with BCCC-Africa
Home address: *
City: *
Postal Code:
Home Telephone: *
Mobile Number: *
Country: *
Web links to Further Information about Yourself:
Other/Personal (What would you want others to know about you):
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