Community-Driven Research Day Submission Form – Community Based Organizations/Groups
Instructions: This form should be completed if you would like to present a poster at Community-Driven Research Day. Please respond to all of the questions.
Contact Person Name
Contact Person Title
Contact Person Telephone #
Contact Person Email Address
Provide a brief description of your organization’s/group’s mission and goals (including the # of years of experience working in your targeted community):
Provide a brief summary of your organization’s/group’s major accomplishments:
Please list up to three questions that you would like to study or explore with academic partners that, if answered, would advance your organization’s/group’s work related to community stress and wellness.
Summarize how your involvement in Community Driven Research Day can help further your organization’s mission / list your expectations for the day:
How did you hear about Community-Driven Research Day?
Word of mouth
If you heard about Community-Driven Research through a listserv, please tell us which one:
***Click the submit button to finish your application:
Community Driven Research Day is intended to be an open forum for sharing ideas and this conference will do its best to ensure that all participants respect the original ideas of others.
Never submit passwords through Google Forms.
Terms of Service