We the People Research Cohort Application
Following our conversation on the Call on the 6th please fill this out by the Noon ET on a Thursday August September 3rd.
Email address *
Name *
BTAN Chapter or Affiliate or Not Apart of BTAN *
What makes you interested in joining the We the People Research Cohort? *
What has been your connection to HIV Vaccine or prevention research? This could be a personal story, a connection through employment, volunteering or you could have had no connection at all in the past
How do you plan to use this knowledge in your local community? *
What is your learning style? Check all that apply
How did you hear about the We the People Research Cohort?
Clear selection
Have you had a chance to watch the recordings in the We the People Research Discussions Webinar Series? *
Thank You for taking the time to finish this out!
Please contact Maxx (maxxb@blackaids.org) if you have any other questions!
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy