* 1. What is your name?

* 2. What is your email address?

* 5. Where do you work?

* 7. If so, what knowledge or expertise would you like to share?

* 8. Which education format would you wish to use?  Tick all that apply.

* 9. For how long would you be willing to go? 

* 10. If you are able to visit Zimbabwe to what extent would you be able to 'self-fund' your travel costs?

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