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Your Role[*Required]
Community Partner
Academic Partner
Patient Partner
What best describes your organization?[*Required]
  • Academic
  • Community Coalition
  • Community Health Center
  • Faith-Based
  • Foundation / Philanthropic
  • Government - Public Health
  • Government - Other
  • Health Care Organization
  • Neighborhood Assocation
  • Non-Profit Service Provider
  • Other
  • Not affiliated with an organization (interested community member)
Your Experience/Expertise (Topics). Please indicate if you have experience and/or expertise in the following topics (check all that apply).[* Required]
  • Alcohol / Substance Abuse
  • Access to Health Care
  • Built Environment
  • Cardiovascular Disease
  • Cancer
  • Chronic Disease
  • Community Health
  • Cultural Competency
  • Diabetes
  • Disabilities
  • Domestic Violence
  • Environmental Health
  • Health Behavior
  • Health Care Quality
  • Health Disparities
  • Health Promotion / Disease Prevention
  • Health Literacy / Numeracy
  • Infectious Disease
  • Injury / Violence
  • Maternal / Child Health
  • Men's Health
  • Mental Health
  • Nutrition / Food Security
  • Obesity
  • Occupational Health
  • Oral Health
  • Rehabilitation
  • School Health
  • Social Determinants of Health
  • Women's Health
  • Health Policy / Health Economics
  • HIV / AIDS
  • Health Services Research
  • Other
Your Experience/Expertise (Methods). Indicate if you have experience and/or expertise in the following methods or approaches (check all that apply.)[* Required]
  • Action Research
  • Advocacy
  • Asset Mapping / GIS
  • Epidemiology
  • Case Studies
  • Coalition Building
  • Community Based Participatory Research
  • Community Needs Assessment
  • Community Organizing
  • Focus Groups
  • Interviewing
  • Participant Observation
  • Participatory Evaluation
  • Photovoice
  • Policy Analysis
  • Program Evaluation
  • Qualitative Research
  • Quantitative Research
  • Randomized Trials
  • Social Marketing
  • Surveys
  • Statistical Analysis
  • Intervention Studies
  • Behavioral Methodology
  • Other
Your Experience/Expertise (Specific Populations). Indicate if you have experience and/or expertise working with any of the specific populations listed below (check all that apply).[* Required]
  • Adolescents
  • African-American
  • Asian
  • Children
  • Homeless
  • Immigrant / Refugee
  • Latino
  • LGBTQ
  • Low-Income
  • Men
  • Native Americans
  • Seniors
  • Uninsured
  • Women
  • Native American / American Indian
  • Pacific Islander
  • Veterans
  • Employee
  • Other
Describe your research interests:
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