COVID-19 Curriculum Translation Interest Form
Name *
Email *
Institutional Affiliation (Hospital/University/Institute, Location) *
Level of Training (pre-medical, medical school student, resident, etc.) *
Language *
Proficiency Level *
How do you intend to use the curriculum translation? (Medical school education, health center use, etc) *
Do you have an interest in translating a specific part of the curriculum? If so, which part? *
Please write the full names and credentials (MD, MPH, PhD, etc), email, and associated organization that you would like credited for the translations. *
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