BCPH Research Survey Promotion
Primary Email
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Alternative Email
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Name
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First Name
Last Name
Pronouns
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State
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Country of Residence
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Country of Origin
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Title
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MD/DO
ScD/SD/DSc
PhD
JD
MA
MS/MPH
Other
Current position (Student/Professor/Director of Research, etc. If none, enter "N/A")
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Organizational Affiliation (If none, enter "N/A")
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IRB Approval Details
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Area(s) of public health/health and social justice focus for the research (Select all that apply.):
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Health policy
Health management
Maternal and Child Health
Reproductive and sexual health
LGBTQ+ Health
Men's Health
Women's Health
Substance Use, Abuse, and Addiction
Refugee/Immigrant Health
Infectious diseases
Environmental health
Occupational health
Dental Health
Global Health
Disability
Other
Title of Research Project
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Importance of Research (400 words MAX)
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All Members involved in Research Project (250 words MAX)
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Research Survey URL
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No, I am not a BCPH Member - disqualified application.
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