Last Updated: 02/21/2012
AGRODEP MEMBERSHIP APPLICATION FORM
PART I: PERSONAL INFORMATION
Last Name
Middle Name
First Name
Gender
Please mark with an “X”
Country of Citizenship
( ) Female
Nationality
(if different from citizenship)
Do you currently live in Africa?
Please mark with an “X”
( ) Male
( ) Yes
( ) No
Do you currently work in Africa?
Please mark with an “X”
( ) Yes
( ) No
Do you have a Ph.D. (Doctorat) degree?
Please mark with an “X”
( ) Yes
( ) No
( ) No, but I have a Master's (M.Sc./DESS/DEA/Engineer) degree
PART II: CONTACT INFORMATION
Street:
City:
Postal Code:
Country:
Office: (
Mobile: (
Current Address
Phone & Fax Number
)
)
Fax: (
Email Address
(Please provide more than one email address, if
possible)
PART III: EMPLOYMENT HISTORY
Please list up to three positions that you have held, starting with the most recent one
Name and Address of Employer
Employment Dates
Please use the MM/DD/YYYY format
Position/Job Title
Name and Address of Employer
Employment Dates
Please use the MM/DD/YYYY format
Position/Job Title
Name and Address of Employer
Employer:
Street:
City:
Postal Code:
Country:
From:
To:
Employer:
Street:
City:
Postal Code:
Country:
From:
To:
Employer:
Street:
City:
Postal Code:
Country:
)
Last Updated: 02/21/2012
Employment Dates
Please use the MM/DD/YYYY format
Position/Job Title
From:
To:
Please list briefly any other positions that are
not specified above
PART IV: EDUCATION AND TRAINING
a. Please list all postsecondary educational institutions that you have attended, starting with the most recent one.
Name and Address of Institution
Dates of Attendance
Please use the MM/DD/YYYY format
Degree Obtained
(e.g. BA in Economics)
Name and Address of Institution
Dates of Attendance
Please use the MM/DD/YYYY format
Degree Obtained
(e.g. BA in Economics)
Name and Address of Institution
Dates of Attendance
Please use the MM/DD/YYYY format
Degree Obtained
(e.g. BA in Economics)
Please list briefly any other institution that you
have attended that are not specified above
Institution:
Street:
City:
Postal Code:
Country:
From:
To:
Institution:
Street:
City:
Postal Code:
Country:
From:
To:
Institution:
Street:
City:
Postal Code:
Country:
From:
To:
a. Please list any training you have attended.
Name and Address of Institution
Dates of Attendance
Please use the MM/DD/YYYY format
Subject of Training
Name and Address of Institution
Dates of Attendance
Please use the MM/DD/YYYY format
Subject of Training
Name and Address of Institution
Institution:
Street:
City:
Postal Code:
Country:
From:
To:
Institution:
Street:
City:
Postal Code:
Country:
From:
To:
Institution:
Street:
City:
Postal Code:
Country:
Last Updated: 02/21/2012
From:
To:
Dates of Attendance
Please use the MM/DD/YYYY format
Subject of Training
Please list briefly any other training not
specified above
PART V: PUBLICATIONS AND PROFESSIONAL AFFILIATIONS
Please list any published papers and other professional publications. Please provide links to publications when available.
(Limit to five publications)
Publication #1:
Include Internet Link if any:
Publication #2:
Include Internet Link if any:
Publication #3:
Include Internet Link if any:
Publication #4:
Include Internet Link if any:
Publication #5:
Include Internet Link if any:
Please list any professional affiliations:
PART VI: TECHNICAL AND LANGUAGE SKILLS
Please mark with an (X) research methodologies that you have
used in your research below:
How often do you use the following Software?
Please respond to the above question by placing an “X” in
the appropriate box below.
( ) Single Country CGE – Static
( ) Multi Country CGE – Static
( ) Single Country CGE - Dynamic
Regularly Occasionally Never
( ) Multi Country CGE - Dynamic
GAMS
( ) Partial Equilibrium Model – Single Market
GAUSS
( ) Partial Equilibrium Model – Multi Market
GEMPACK
( ) Partial Equilibrium Model – Spatial Market
MATHEMATICA
( ) Development of SAMs
R
( ) Development of Household Surveys
SAS
( ) Development of GIS Data
SPSS
( ) Development of Other Databases
STATA
( ) Econometrics of Cross Section Data
OTHER
( ) Econometrics of Time Series Data
If “Other”, please specify: (
( ) Econometrics of Panel Data
( ) Experimental Econometrics
( ) Other
If “Other” please specify: (
)
)
Last Updated: 02/21/2012
How long have you been using the following Software?
Please respond to the above question by placing an “X” in the appropriate box below.
More than 3 years
More than 1 year,
but less than 3
Less than 1 year
GAMS
GAUSS
GEMPACK
MATHEMATICA
R
SAS
SPSS
STATA
OTHER
If “Other”, please specify: (
)
Please indicate your native language and the level of competency in the languages listed below by placing an “X” in the
appropriate box:
What is your native language? (
)
Speak
None
Basic
Moderate
Write
Fluent
None
Basic Moderate
Read
Fluent
None
Basic
Moderate Fluent
English
French
Other
If you rated the level of competency for another language under “Other”, please specify which language: (
)
PART VII: CAPACITY BUILDING NEEDS
Please mark with an (X) one or more topics of your research
interest in the list below:
( ) Agriculture, production and consumption
( ) Commodity prices
Please mark with an (X) one or more regional research
interests below:
( ) Northern Africa
( ) Western Africa
( ) Trade negotiations
( ) Central Africa
( ) Infrastructure
( ) Eastern Africa
( ) Climate change
( ) Southern Africa
( ) Governance and institutions
( ) Neoclassical Models of Trade
( ) Models of Trade with Imperfect Competition and Scale Economies
( ) Trade Policy; International Trade Organizations
( ) Trade and Labor Market Interactions
( ) Trade Forecasting and Simulation
( ) Trade and Environment
( ) Country and Industry Studies of Trade
( ) Economic Integration
( ) Foreign Direct Investment
( ) Informal Economies
( ) Environment
( ) Natural Resources
Last Updated: 02/21/2012
( ) Energy
( ) Water
( ) Other
If “Other” Please specify: (
)
Do you have any particular regional or country expertise?
Yes ( )
No ( )
If “Yes” please specify: (
)
Please mark with an (X) research methodologies in which you would like to receive training or acquire expertise:
( ) Single Country CGE – Static
( ) Multi Country CGE – Static
( ) Single Country CGE - Dynamic
( ) Multi Country CGE - Dynamic
( ) Stochastic General equilibrium
( ) Partial Equilibrium Model – Single Market
( ) Partial Equilibrium Model – Multi Market
( ) Partial Equilibrium Model – Spatial Market
( ) Development of SAMs
( ) Development of Household Surveys
( ) Development of GIS Data
( ) Development of Other Databases
( ) Statistical analysis
( ) Macroeconometrics
( ) Microeconometrics
( ) Econometrics of Cross Section Data
( ) Econometrics of Time Series Data
( ) Econometrics of Panel Data
( ) Experimental Econometrics
( ) Other
If “Other” please specify: (
)
Would you like to participate in the process of reviewing papers submitted by AGRODEP members? (Please mark with an
(X) the applicable choice below)
( ) Yes
( ) No
( ) Undecided
How often – on average per year – have you presented papers at conferences in the past five years?
In Africa
Outside Africa
What are the main constraints to your participation at international conferences? (Please mark with an (X) the applicable
choices below)
( ) Publication
( ) Financing
( ) Interest
Last Updated: 02/21/2012
( ) Others (please, specify):
What are your expectations about AGRODEP in 2011 and 2012?
(Please write a short statement)
How will you contribute towards creating a critical mass of world class modelers in Africa?
(Please write a short statement)