CPHA Committee Interest

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Thanks so much for your interest in joining one of CPHA's committees. Please use this form to tell us a little bit about you.

It might take us a few weeks to get back to these responses. Please be patient!

What's your name? Please provide both your first name (or what you like to be called) and your last name.
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What's your email address?
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Are your currently a...

Undergrad student

Graduate student

Working professional

Other:

Which committee are you most interested in joining?
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Communications Committee

Health Education Committee

Membership Committee

Program Committee

If there isn't room in your first choice committee, is there another committee that you are interested in joining?

Nope, it's my first choice or nothing.

Yes, I'm also interested in the Communications Committee

Yes, I'm also interested in the Health Education Committee

Yes, I'm also interested in the Membership Committee

Yes, I'm also interested in the Program Committee

Clear selection

Very briefly, why are you interested in joining this / these committee(s)?
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What's your experience doing this sort of work? (It's fine, if you don't have any).
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If there's anything else you think we should know about you, here's the place to tell us.

Submit

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