CUGH Global Health Workforce Panel Submission Form
Thank you for your interest in the CUGH Global Health Workforce Panel volunteer opportunity to select and guide our next generation of Global Health Leaders through the PHI/CDC Global Health Fellowship Program.

Please fill out the form below and select up to three (3) tracks that you believe you have the highest interest, industry knowledge, and experience to be able to identify and select top candidates in their specific tracks. If you are chosen to be a reviewer, we will email you with confirmation of acceptance.
Name *
Your answer
Email *
Your answer
CEPH-Accredited Affiliation (Name of Institution). If you do not have an affiliation, please put N/A below. *
Your answer
Other Non-CEPH Affiliation (Name of Organization)
Your answer
Please select up to 3 tracks that best identifies with your area of expertise. *
Required
Please describe how your experience with CUGH and background within the Global Health field will contribute to selecting our top PHI/CDC Global Health Fellowship candidates in the particular tracks you have selected above (200 words max.). *
Your answer
I will be able to commit on average 10-15 hours in January 2020 to review approximately 40-50 applications. *
Are you willing to review more than 40-50 applications in January 2020? *
Additional opportunities will be available to provide support to the PHI/CDC Global Health Fellows in areas of Professional Development and Training. Are you able to provide professional development opportunities for Fellows throughout the program year? (Please describe or list any Global Health Training or Professional Development opportunities you have.) *
Your answer
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