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The Academy is beginning to launch its learning programmes and wants YOU to be part of the process.
 
We are looking for 500 testers to be early adopters of our programmes. They will test out the learning platform and provide us with the valuable feedback we need to improve our learning programmes. Even if you can't join our team as a tester, we ask that you share this form with your networks. 

The Academy created this open process to gather individuals based on the principles of equitable geographical representation, gender balance, balance of participants from low-, middle- and high-income countries, and on representation of differing consumer healthcare trends, approaches, and practical experiences in various parts of the world.
 
Thank you for joining us in testing our programmes!

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. Email

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* 4. Phone number

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* 5. What is your age? 

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* 6. Sex:

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* 9. What is your current place of employment, education, or volunteer organization and your role?

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* 10. Which of the following describes your current role?

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* 11. In which WHO official language(s) do you speak most fluently?

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* 12. What is your availability in the next three months? Check all that apply

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* 13. Have you used an online learning platform before? If so, which one(s)?

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* 14. Would you consider yourself a subject-matter expert in the programme(s) you'd like to test?

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* 15. Is there anything else you would like to share?

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* 16. Please select learning programs you would like to test

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* 17. We will ask you to test the Learning Experience Platform on whatever device(s) you normally use. Please select the devices that you have available.

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