First Floor Josam House, Plot No. 16 Block A Mikocheni B, Coca Cola Road.
P.O. Box 65147 Dar Es Salaam-Tanzania.
Tel: +255 22 2772264, Fax: +255 22 2772299
Website: http://www.healthpromotiontanzania.org, Email: info@hdt.or.tz
Please read the Job description before you fill this form. Should find yourself incompetent, please decline the application.
Double click icon to open ToR/Job Description
CONFIDENTIAL
Application Form
Application for: HIV testing and counselling Counsellor (HTC Counsellor)
Deadline:Tuesday, 1stMarch 2016 16Hrs EAT. Send your application toinfo@hdt.or.tz
All Applicants
(Please complete in capital letters) Mr/Mrs
Surname: Initials: First name:
Date of birth:
Address for correspondence:
E-mail Address:
Mobile phone:
Personal Details
Have you previously been involved with HDT? Yes ÿ No ÿ
If so, in what capacity
Please complete these sections carefully after reading the job description. The decision to invite you for interview will be based on the information you provide on this form and how closely you meet the personal specifications.
Employment History
Please summarise your previous jobs in last five years only beginning with the most recent
Duration of Notice required:
Current /last Salary:
Dates of employment
Employer’s name, address and nature of business
Job Title and summary of main duties
Reasons for leaving
You should not use more than one sheets for this section
Qualifications and Training
Please give details of your education, qualifications and training relevant to the application.
Dates
Qualification/Course completed
Place of Education/Training
Grade/ Result
Other short course relevant to this application
Please give details of any short training attended that are relevant to this post.
Dates
Institution or body
State how useful it is to this post
Achievements, Personal Qualities & Skills
Please use this section to indicate how far you meet each of the competencies required for the post. List experience, achievements, knowledge, personal qualities and skills, which you feel are relevant, against each competency.
Please demonstrate your specific experience and knowledge in HIV programming (HIV testing and counselling)
Please comment on your level of ability in written and spoken English and Kiswahili
English:
Swahili:
Please indicate your level of computer skills (word-processing, spread sheets and QuickBooks and/or any other accounting software)
Word processing:
Spread Sheet:
Referees
Give details of two people who have knowledge of your work. (One referee must be your most recent manager). If you currently work, and other your supervisor if you just completed studies. Personal friends or family references will not be accepted.
1. Name:
2. Name:
Address:
Address:
Email:
Email:
Telephone:
Telephone:
Relationship to you
YES NO
Can we contact him/her
YES NO
Declaration
I confirm that the information on this form is correct and complete. I understand that to withhold, falsify or omit relevant material fact will lead to disciplinary action, including dismissal in the case of a successful applicant.
Signature: Date:
Please do not submit a CV as it will disqualify you. Unless applicants receive notification within 3 days of the specified closing date, they should assume they have not been successful, and in the interest of economy individual letters will not be sent. Send your application to info@hdt.or.tz
For Office Use Only
Date received:
Date acknowledged:
Shortlisted
Reason:
Interviewed
HEALTH PROMOTION TANZANIA (HDT)
First Floor Josam House, Plot No. 16 Block A Mikocheni B, Coca Cola Road.
P.O. Box 65147 Dar Es Salaam-Tanzania.
Tel: +255 22 2772264, Fax: +255 22 2772299
Website: http://www.healthpromotiontanzania.org, Email: info@hdt.or.tz
Please read the Job description before you fill this form. Should find yourself incompetent, please decline the application.
Double click the icon to open the ToR/Job Description
CONFIDENTIAL
Application Form
Application for:Home based care Officer (HBC Officer)
Deadline:Tuesday, 1stMarch 2016 16Hrs EAT. Send your application toinfo@hdt.or.tz
All Applicants
(Please complete in capital letters) Mr/Mrs
Surname: Initials: First name:
Date of birth:
Address for correspondence:
E-mail Address:
Mobile phone:
Personal Details
Have you previously been involved with HDT? Yes ÿ No ÿ
If so, in what capacity
Please complete these sections carefully after reading the job description. The decision to invite you for interview will be based on the information you provide on this form and how closely you meet the personal specifications.
Employment History
Please summarise your previous jobs in last five years only beginning with the most recent
Duration of Notice required:
Current /last Salary:
Dates of employment
Employer’s name, address and nature of business
Job Title and summary of main duties
Reasons for leaving
You should not use more than one sheets for this section
Qualifications and Training
Please give details of your education, qualifications and training relevant to the application.
Dates
Qualification/Course completed
Place of Education/Training
Grade/ Result
Other short course relevant to this application
Please give details of any short training attended that are relevant to this post.
Dates
Institution or body
State how useful it is to this post
Achievements, Personal Qualities & Skills
Please use this section to indicate how far you meet each of the competencies required for the post. List experience, achievements, knowledge, personal qualities and skills, which you feel are relevant, against each competency.
Please demonstrate your specific experience and knowledge in HIV programming (Home Based Care)
Please demonstrate your experience in PEPFAR funded projects; familiarity to the [90, 90, 90] PEPFAR targets and PEPFAR indicators
Please demonstrate your knowledge, skills and ability in managing people who work under you such as community HBC providers
Please demonstrate your knowledge, skills and ability in Result Based Planning and Management
Please comment on your level of ability in written and spoken English and Kiswahili
English:
Swahili:
Please indicate your level of computer skills (word-processing, spread sheets and QuickBooks and/or any other accounting software)
Word processing:
Spread Sheet:
Referees
Give details of two people who have knowledge of your work. (One referee must be your most recent manager). If you currently work, and other your supervisor if you just completed studies. Personal friends or family references will not be accepted.
1. Name:
2. Name:
Address:
Address:
Email:
Email:
Telephone:
Telephone:
Relationship to you
YES NO
Can we contact him/her
YES NO
Declaration
I confirm that the information on this form is correct and complete. I understand that to withhold, falsify or omit relevant material fact will lead to disciplinary action, including dismissal in the case of a successful applicant.
Signature: Date:
Please do not submit a CV as it will disqualify you. Unless applicants receive notification within 3 days of the specified closing date, they should assume they have not been successful, and in the interest of economy individual letters will not be sent. Send your application to info@hdt.or.tz
For Office Use Only
Date received:
Date acknowledged:
Shortlisted
Reason:
Interviewed
HEALTH PROMOTION TANZANIA (HDT)
16 MIKOCHENI INDUSTRIAL AREA, COCA COLA ROAD
FIRST FLOOR, JOSAM HOUSE,
P.O. Box 65147, Dar Es Salaam-Tanzania
Tel: +255 22 2772264, Fax: +255 22 2772299
Website: www.hdt.or.tz. Email:info@hdt.or.tz
Please read the Job description before you fill this form. Should find yourself incompetent, please decline the application.
Double click icon to open ToR/Job Description
CONFIDENTIAL
Application Form
Application for: Program Officer
Deadline: 4thMarch 2016 16Hrs EAT. Send your application toinfo@hdt.or.tz
All Applicants
(PLEASE COMPLETE IN CAPITAL LETTERS)
Mr/Mrs:
Surname: Initials: First name:
Date of birth:
Address for correspondence:
Email Address:
Mobile:
Personal Details
Please complete these sections carefully after reading the job description. The decision to invite you for interview will be based on the information you provide on this form and how closely you meet the personal specifications.
Employment History
Please summarise your previous jobs in last five years only beginning with the most recent
Current Notice required: Yes/No
How long:
Current Salary:
Dates of employment
Employer’s name, address and nature of business
Job Title and summary of main duties
Reasons for leaving
You should not use more than one sheets for this section
Qualifications and Training
Please give details of your education, qualifications and training relevant to the application
Dates
Qualification/Course completed
Place of Education / Training
Grade/ Result
Other short course relevant to this application
Please give details of any short training attended that are relevant to this post
Dates
Institution or body
State how useful it is to this post
Achievements, Personal Qualities & Skills
Please use this section to indicate how far you meet each of the competencies required for the post. List experience, achievements, knowledge, personal qualities and skills, which you feel are relevant, against each competence
Please demonstrate your specific experience in data collection and usage
Please demonstrate your experience in applied research (emphasise on independent research)
Please demonstrate your ability to facilitate sessions and if possible highlight your perceived meaning of effective facilitation
Please demonstrate your experience in social accountability (emphasise on health)
Please demonstrate your experience in proposal writing and cite if any a proposal you have written and worn
Please demonstrate your skills in report writing (You can submit papers presented not co-written)
Please demonstrate your ability to facilitate effective networking and share information
Please comment on your level of ability in written and spoken English and Kiswahili
LANGUAGE
Fluency ( Reading)
Fluency (writing)
Good
V. Good
Excellent
Good
V. Good
Excellent
ENGLISH
SWAHILI
OTHERS (specify)
Please comment on your level of ability in written and spoken English and Kiswahili
Program
Competence
Describe what you ca do in summary
Good
V. Good
Excellent
MS WORD
EXCEL
SPSS,
PowerPoint
Internet and Email
Referees
Give details of two people who have knowledge of your work. (One referee must be your most recent manager). If you currently work, and other your supervisor if you just completed studies. Personal friends or family references will not be accepted.
1. Name:
2. Name:
Relationship to you
Declaration
I confirm that the information on this form is correct and complete. I understand that to withhold, falsify or omit relevant material fact will lead to disciplinary action, including dismissal in the case of a successful applicant.
Signature Date:
Please do not submit a CV as it will disqualify you. Unless applicants receive notification within 3 weeks of the specified closing date, would they please assume they have been unsuccessful, and in the interest of economy individual letters will not be sent.
For Office Use Only
Date received
Date acknowledged
Short listed
Reason
Interviewed
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