Academic Support Service Request Academic Support Service RequestLast NameFirst and Other NamesEmailPrimary Contact PhoneWhatsApp NumberDate - Form Completed and SubmittedEDUCATIONAL BACKGROUND AND POST GRADUATE PROGRESSFirst DegreeSecond Degree (If Applicable)Year Enrolled at Current UniversityDegree in Pursuit (e.g PhD, Doctorate, MSc, MA, etc)Field / Discipline (E.g. Public Health, Health Science, etc)Name of Current InstitutionStage in the Academic ProgressIntended Year of Graduation AREAS OF INTEREST FOR EDUCATIONAL SUPPORTMentorship and Guidance Full Programme Package - This is academic advising and motivation to degree completion for your degree Success. This includes mentoring and follow-up on your progress, and providing supportive counselling to the end of the programme. A Module or Course Package - This is academic advising and motivation for a Module or Course completion. This includes mentoring and follow-up on your progress, and providing supportive counselling to the end of the course/module.Checkbox Field Research Designs and Practice Research and Evaluation Methods Epidemiology Biostatistics International and Global Health Health Policy and Social Justice Health Promotion Behavioural Change and Intervention Design Research Ethics Health Promotion Fundamentals of Health Economics.Dissertation / Research Project Title Determination – 001 Premise Development - 002 Prospectus Development - 003 Proposal Development Data Collection and Analysis Writing Chapter 1 Writing Chapter 2 Writing Chapter 3 Writing Chapter 4 Writing Chapter 5Research Publication Support Mentorship and Advisory Article Support Review Review and Response to ReviewersPreferred Method of Communication Physical Face Meetings Skype Video Calls Skype Audio Calls Skype Chats Zoom Conference Calls WhatsApp Video Calls WhatsApp Audio Calls WhatsApp Chats Mobile Communication Calls SMSAdditional CommentsSubmit Form
