2017 CREATE workshop application form
Welcome CREATErs!

We are very happy that you are interested in applying for this year's CREATE workshop at the EHPS conference in Padua. We have a slight change of format this year - because one of the core aims of CREATE is to foster exchange and collaborations among early career researchers, we will start with a networking activity 27 Aug 2017 (from the late afternoon onwards; details to follow), followed by 2 full workshop days on 28 and 29 Aug 2017. It promises to be 3 days of wonderful research insights into intervention mapping and fun socialising with your fellow early career researchers. We are excited to have you on board!

The workshop will focus on developing theory- and evidence-based interventions applied to health promotion and disease prevention. The emphasis of this workshop will be on applying the Intervention Mapping process. Intervention Mapping is a protocol for the design of health education & promotion programmes, guiding health promoters through a series of steps that will assist them in developing theory- and evidence-based programmes.

Objectives: Workshop participants will apply Intervention Mapping to selected public health problems. As a result, participants will be able to design their own effective theory- and evidence-based prevention intervention health problems in their personal work contexts. Participants may ask for consultations on their own projects.

Workshop format: Plenary sessions will cover the principles and processes of Intervention Mapping and include examples of health promotion programmes that have successfully applied the Intervention Mapping process. Small groups will discuss and apply the process to the selected health promotion topics.

In order to apply, take a glance at the guidelines for the application below and fill the form:

Priority will be given to applications from PhD students and Postdocs holding their PhD for no longer than 2 years, so please remember to send proof of your student status or your PhD certificate (copy/scan) to create@ehps.net.

Please also note that in order to be accepted for the workshop you must become a member of the EHPS. If you are not a member yet, please apply for membership at http://www.ehps.net/.

The fee for the workshop is €120 (or €95 reduced fee for low economic resource countries). Details for payment, including deadlines, will be forwarded to you following successful acceptance.

For more information on our participant selection procedure, please refer to: http://goo.gl/sSKWlK.

First Name
Your answer
Last Name
Your answer
Email
Your answer
Mobile phone number (+ dialing code)
Your answer
Nationality
Your answer
Which country are you studying/working in?
(which country will award your PhD, or if post-doc, which country are you currently working in?)
Your answer
Which country do you receive your funding/salary from?
(your PhD stipend or any other financial support)
Your answer
How many previous CREATE workshops have you attended?
What is your EHPS number?
(you must register with the EHPS to attend the CREATE workshop. If you haven't yet registered, go to: www.ehps.net/membership)
Your answer
The CREATE workshop includes a dinner outing. Please let us know if you have any special dietary requirements.
(We try our best but are not always able to cater to all requirements.)
Please tell us briefly about your reasons for applying to the workshop
(Please supply 2-3 sentences)
Your answer
How did you first hear about the workshop?
Are you interested in joining the CREATE WhatsApp group?
Please indicate whether you are happy for us to share your telephonenumber with other applicants so that groups of participants can get in contact with you and arrange social activities. Please note that if you express interest in this, you will gain access to the mobile telephone number of other participants.
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