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How to receive further information

The BC Child and Youth Health Research Network (CYHRNet) is one of eight health of population research networks funded by the Michael Smith Foundation for Health Research. If you are interested in participating in CYHRNet or other MSFHR-funded networks, please fill out and submit the following form.

All fields with an asterisk (*) are required.

Contact Information

Salutation:
* First Name:
* Last Name:
* E-mail Address:
Your personal webpage address:

(Note: if your personal webpage includes the following information, there is no need to complete it here)

Choose your organization: Post Secondary Institutions:

Universities:
RRU
SFU
TRU
UBC
UBCO
UNBC
UVic
University of the Fraser Valley
University-Colleges:
Kwantlen University College
Malaspina University College
Colleges:
Capilano College
Camosun College
College of New Caledonia
College of the Rockies
Douglas College
Langara College
Okanagan College
North Island College
Northern Lights College
Northwest Community College
Selkirk College
Vancouver Community College
Institutes:
BCIT
Institute of Indigenous Government
Justice Institute of BC
Nicola Valley Institute of Technology
Academic Researcher, Other:
Please specify:
BC Health Authorities:
Fraser
Interior
Northern
Provincial
Agency:
Vancouver Coastal
Vancouver Island
Not a university or health authority

Please let us know about your organization:

Organization Name:
Category:

Community Organization
Service Provider
Government
Private Sector
Other
Please specify:

Department:
Job title/role:
Address 1:
Address 2:
City:
Province/State:
Postal/Zip Code:

Phone Number:

555-555-5555


Fax number:

555-555-5555

Are you a Student? Yes No

Research interest(s) – current:
Research interest(s) – future:

Methodological Expertise

List up to 10 keywords that best describe your expertise in research, instruments and techniques that could be shared by network colleagues (e.g. focus group facilitation, clinical trials, etc.)

01.
02.
03.
04.
05.
06.
07.
08.
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10.

If you are not a researcher, please let us know your previous or future interest in research participation:

Primary Network

Please choose one of the eight MSFHR networks to be the primary network you would like to receive information from.

* Primary Network:

Secondary Network(s)

Please select up to seven secondary networks you are interested in receiving information from. Do not include the network listed as your primary.

BC Child and Youth Health Research Network
BC Environmental and Occupational Health Research Network
BC Mental Health and Addictions Research Network
BC Network for Aging Research
BC Rural and Remote Health Research Network
Disabilities Health Research Network
Network Environments for Aboriginal Research BC
Women's Health Research Network

Privacy: By submitting this form, you are providing your consent to have your information included in CYHRNet's public member database. Your information may be used for purposes such as sending newsletters, surveys, conferences or general information and may be accessed by members of any or all of the Health of Population Networks in order to help facilitate networking activities. Your information will but may be accessed by third-party visitors to the CYHRNet Members Database.

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