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Name: *
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Membership Category: *
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Section #1
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York University Faculty (if applicable)
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Maximum of 350 words allowed. Currently Entered: 0 words.
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Section #2
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Of the Institute's three research themes, please indicate your preferred theme: *
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Maximum of 500 words allowed. Currently Entered: 0 words.
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Maximum of 500 words allowed. Currently Entered: 0 words.
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Please indicate how you would like to engage with the Dahdaleh Institute (check all that apply): *
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including,
I would like to share my research and publications on the DI website and through other media channels;
and/or I would like to participate in a mentorship program;
and/or I would like support for a research grant application (e.g., in-kind support - budget, editing, and other support for the application process, as needed);
and/or I would like to administer/run a research grant (i.e., support on a cost recovery basis - please enquire);
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Section #3
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I agree to receive electronic communications from the Dahdaleh Institute for Global Health Research, including the weekly newsletter, research forum list serv, and follow-up emails about this form. *
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