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.
Name (First, Middle, Last)
Early-career Faculty Member
Please list any fellowships that you currently hold
Why are you interested in participating in this Institute and what would you hope to gain from participating? (600 character max.)
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.)
Will you require accommodation while attending the Institute?
If so, for how many nights?
Page 1 of 3
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service