BCCI-2 Participant Application Form
Interested individuals must fill out the Participant Application Form. While participants from across Canada are encouraged to apply, priority will be given to individuals located in British Columbia.
Email address *
Name (First, Middle, Last) *
Your answer
Participant Type *
Required
Current University
Your answer
Current Program
Your answer
Please list any fellowships that you currently hold
Your answer
Why are you interested in participating in this Institute and what would you hope to gain from participating? (600 character max.) *
Your answer
In which area(s) of global health research do you have research interests? In particular, please describe any involvement you have in research and action related to planetary health. (400 character max.) *
Your answer
Will you require accommodation while attending the Institute? *
If so, for how many nights?
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