ASSOCIATION OF AFRICAN UNIVERSITIES WORKSHOPS

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* 1. Name of Institution / Nom de l'université

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* 2. Country of Institution Location / Pays de l'Université

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* 3. Surname of the Rector / Vice Chancellor / President/Principal
Nom du Recteur / Vice Chancelier / Président

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* 4. First Name of the Rector / Vice Chancellor / President/Principal
Prénom du Recteur / Vice Chancelier / Président

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* 5. Email 1 / Adresse Email 1

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* 6. Email 2 / Adresse Email 2

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* 7. Mobile Telephone 1 / Téléphone mobile 1

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* 8. Mobile Telephone 2 / Téléphone mobile 2

Contact Details of the Institution’s focal Person for the selected workshop
Coordonnées de la personne focale de l'Université pour l'exercice

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* 9. Surname / Nom

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* 10. First Name / Prénom

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* 11. Title / Titre

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* 12. Designation / Désignation

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* 13. Gender / Sexe

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* 14. Email 1 / Adresse Email 1

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* 15. Email 2 / Adresse Email 2

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* 16. Mobile Telephone No / No. Téléphone mobile

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* 17. In which language must the workshop be delivered?

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* 18. Which workshop theme(s) is your institution interested in? (The details can also be provided during further communication). N/B1: There are many workshops under each theme. N/B2: You can suggest other workshop themes and areas which may not be listed here.

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* 19. Why is your institution interested in the selected workshop(s)? In your explanation you can include some of the challenges that led you to select this/these workshop(s) for your institution.

Pourquoi votre organisation est-elle intéressée à participer à l'évaluation institutionnelle qui s’applique à l'enquête ? Veuillez énumérer trois domaines potentiels que vous souhaitez explorer pour l'amélioration de votre établissement

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* 20. Has your institution participated in other AAU workshops before? Please list.

Votre établissement a-t-il participé à d'autres examens d'évaluation internationale? Veuillez dresser la liste

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* 21. Proposed dates for the selected workshop(s) / Date de confirmation

Date

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* 22. What is the expected number of people to be trained?

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* 23. Is your institution a member of the AAU?

T