Join the Next Generation GHS Network
Please fill out your contact information, short bio, and areas of interest in order that the NextGen might build a database of its members. Your email will automatically be added to the mailing list.
First Name *
Your answer
Last Name (Surname) *
Your answer
Email *
Your answer
Location (region) *
Country/Countries of Activity (Optional)
Your answer
Institutional Affiliation (Optional)
Your answer
Campus Chapter (if available)
Phone number (Optional)
Your answer
Short Biography (1000 characters maximum) *
Your answer
Working Groups of Interest
Please indicate if you would be interested in joining on a Working Group for any of NextGen's ongoing projects.
How did you learn about NextGen? *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service