Expression of interest for AGI Working Groups

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

You can only express your interest for an AGI Working Group if you are an AGI member. If not, please apply for membership first: https://ataxia-global-initiative.net/governance/membership/

Are you an AGI member or work for an AGI partner organization?
*

I am an AGI member

I work for an AGI partner (support letter available)

I am not sure

no (If not AGI member or employee of an AGI partner, please apply for an AGI membership first)

Name of the AGI partner organization

First name
*

Family name *

Email *

Affiliation(s) *

Interested to join WG1 Clinical outcomes & registries (not possible until further notice)

WG 1

Interested to join WG2 Molecular biomarkers & biosampling

yes

Interested to join WG3 MRI biomarkers

yes

Interested to join WG4 Digital-motor biomarkers and its working package:

yes

WP1 Balance and Gait

WP2 Upper Limb

WP3 Speech

WP4 Smartphone

WP5 Oculomotor

Interested to join WG5 Model systems and preclinical trials

yes

Interested to join WG6 Next-generation genomics & platforms

yes

Interested to join WG7 Policy and patient organization involvement

yes

Interested to join WG8 Patient-reported experience & outcome measures

yes

50-200 words: What is your professional experience with the WG's (also WG4 working package's) topic(s)?
*

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report