BSI Member Registration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Welcome to the official Beyond Sciences Initiative (BSI) membership registration form. For more information about ongoing initiatives or our mandate please visit our website at beyondsciences.org . The purpose of this form is to collect some basic information that will help us connect you with your initiative of interest to the best of our ability. Please note that some initiatives may not be active during the entire year while others may reach capacity.

Please also note that by joining, you agree to be contacted by BSI executive members via email. You may cancel this communication at any time and you will be removed from the relevant mailing lists. Additionally, members are encouraged to initiate and join discussions on our Facebook page at www.facebook.com/beyondsciences.

Thank you for considering this initiative and we look forward to working with you!

Name (last, given) *

Contact/ e-mail *

Institute/ Faculty/ Department *

(e.g. University of Toronto/ Faculty of Medicine/ Department of Immunology)

Affiliation / program and year of study

(e.g. student, PhD, year 4)

Please briefly state the reason for your interest in BSI and what you hope to achieve as a member

Which of the following initiatives are you interested in contributing to / developing?

(check all that apply, specify any sub-interests in the 'other' section )

Annual online conference (committee runs from August-Feb)

Local outreach (e.g. health or resources outreach for low income communities)

Underrepresented Minorities in STEM

Remote mentorship (e.g. manuscript reviewer for medical student research projects)

Other:

Which topics are you most interested in working on?

Check all that apply. This information may be used to pair you with a peer where appropriate

Immunology

Child Mortality

Infectious Diseases

Chronic Diseases

Cancer

Women's Health

Biotechnology

Technology entrepreneurship

Medicine (general)

Education

Epidemiology

Mental Health

Other:

Please briefly describe your current area of research if applicable

This will be helpful in matching you with a colleague abroad (NA if not applicable)

Are you planning to submit an abstract to our upcoming online conference?

(for more information visit our website)

Yes

Unsure

Clear selection

Please leave any comments, questions, or suggestions below.

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms