JBI gLOCAL Solution Room 2024 Registration Form

Registration Form

JBI gLOCAL Solution Room 2025: Global Evidence, Local Decisions

In 2025 the gLOCAL Solution Room week will be from 23 - 27 June

The gLOCAL Solution Room is an annual event which JBIC Entities can choose to host in June of each year, the gLOCAL Solution Room falls under the JBI/JBIC Symposium Activity (refer to the JBIC Handbook).

You will receive 5,000 points for hosting a gLOCAL Solution Room.

All gLOCAL Solution Rooms:
1. must be at least two hours in length (it can also be a half-day or a full-day event)
2. must be free and open to attendees outside of your JBIC Entity
3. must include a Clinician (to participate in the discussion on implementing evidence into practice)
4. can be online, in-person or a hybrid of both
5. a URL must be available for attendees to register for the event (whether it is an online of in-person event. A contact email will not suffice in replacement for a registration link)
All gLOCAL Solution Rooms must be registered using the online form below. Please ensure that most of your event details have been finalised, as there are mandatory fields which, if not completed, will not allow you to submit the form. As part of your registration you must upload the gSR Program Template provided in on the JBI Resource Portal.
Is your gLOCAL Solution Room free for attendees?*

YesNo
You cannot register a gLOCAL Solution Room as all events must be free.
Contact Details
JBI Collaborating Entity Name*
Best Contact Name*

First NameLast Name
Contact Email Address*
example@example.com
Second Contact Name (not mandatory)

First NameLast Name
Second Contact Email (not mandatory)
example@example.com
Are you collaborationg with one or more JBIC Entities on the GLocal Solution Room?

YesNo
Other JBI Collaborating Entity Name*
Event Details
Name of Event (incorporate 'JBI' into the title, i.e. Implementing research into practice locally: A JBI gLOCAL Solution Room).*
Briefly describe the focus of your gLOCAL Solution Room and how it applies to implementation *
Date of gLOCAL Solution Room*
Time of Event*

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Select your timezone*
Country of Event*
City of Event*
Upload your agenda below (a template agenda has been provided to you in the gLOCAL emails sent by the Global Engagement Office, you can also download it from the JBI Resource Portal). If you are unable to access the template email jbic@adelaide.edu.au).
Agenda*

Cancelof
Is the event online, in person or hybrid?*

OnlineIn-personHybrid
If in-person, provide address of function space (this detail must have been organised prior to application)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Registration page and Participant Registration URL

Whether your event is online or in-person, all participants must be able to register to attend via an online platform. Please provide the registration link (URL) below (note you cannot register a gLOCAL Solution Room without providing an online registration link).

A registration page must be attached to the URL. For example, if you create a meeting on Zoom, you are required to create a registration page for this event, you cannot have an open link that takes a person immediately into the meeting. For how to create a registration page on Zoom click here.

Ensure that the registration page includes:

- Title of event

- Date & Time

- Your JBIC Entity logo (email jbic@adelaide.edu.au if you require this)
This can be a webpage on your host organisation website, or a registration link on google docs, zoom etc. We will not accept a contact email address. Please ensure you have included your JBIC Entity tile on the registration page and the title of your gLOCAL Solution Room. Contact jbic@adelaide.edu.au if you have any questions with regard to this.
Do you have a sponsor for the event?*

YesNo
Sponsor Name*
Sponsor URL*
Sponsor Logo*

Cancelof
Estimated cost of hosting a JBI gLOCAL Solution Room (See JBIC Resource Portal for example budget )*
Provide a total amount only
Speakers
Have you invited a Clinician to participate as a facilitator, speaker, or part of a Q&A panel?*

YesNo
The gLOCAL Solution Rooms general focus is on implementing evidence into practice, you cannot register your event without including a Clinician as either a facilitator, speaker, or part of a Q&A panel.
Clinician/Speaker Details*
Would you like for your host organisation logo to be include on any promotional material we create for you?*

YesNo
Host Organisation Logo 1*

Cancelof
Host Organisation Logo 2 (optional)

Cancelof
Host Organisation Logo 3 (optional)

Cancelof
Would you like to advertise this event in your home language?*

YesNo
Please fill out the following fields in your home language

For the purpose of advertising
Name of Event (incorporate JBI into the title, i.e Implementing research into practice locally: A JBI gLOCAL Solution Room.*
Start Date
End Date
Start Time
End Time
Country of Event*
City of Event*
Is the event online, in person or hybrid? (Please list in home language)*
Should be Empty:

Registration Form

JBI gLOCAL Solution Room 2025: Global Evidence, Local Decisions

Contact Details

Event Details

Registration page and Participant Registration URL

Speakers

Please fill out the following fields in your home language