IAPHL Sponsorship Application: 2021 GHSC Virtual Summit

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Please complete all fields below and click "Submit" when finished. Applications may be edited after submission.

Email *

First Name(s) *

Family Name *

County of Residence *

Gender *

Male

Female

Prefer not to say

Employer *

Job Title *

How long have you been working in supply chain? *

Less than 1 year

1 - 3 years

5 - 10 years

Over 10 years

Have you received a scholarship or sponsorship from IAPHL in the past? *

Yes

Are you a member of your local IAPHL Country Chapter? *

Yes

There is no IAPHL Country Chapter in my country.

Please explain your role and level of participation in the local Chapter if any.

How will you use the supply chain knowledge gained at this conference to contribute to your work and the public health supply chain community? *

Please note the conference may be hosted from a different time zone. Will you be able to fully participate in the conference given the potential time difference? *

Yes

If selected to attend the conference, you will be required to post at least one key learning point from the conference on the IAPHL Listserv. Do you agree to post at least one submission?

Yes

Clear selection

Send me a copy of my responses.

Submit

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