Expression of Interest in PRIME
Email address *
Country of Origin: *
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Occupation : GP/ Mental health *
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How did you find out about PRIME: *
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Current Affiliation: *
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Which PRIME team are you interested in working with? *
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Please summarise briefly your prior discussions or collaboration with any PRIME partners *
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Which area(s) of PRIME's work do you see yourself getting involved in? Capacity building, Policy, Research *
Policy
Media
Capacity Building
Select all that apply:
How do you see yourself becoming involved in PRIME? Specifically, how can you contribute to the goals, outputs or impact of PRIME? *
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Do you have funding that could cover your collaboration with PRIME? *
If Yes, please specify source of funding under Other
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Please indicate what this funding will cover
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If you do not have funding, please specify how you will fund the time and costs associated with your work on PRIME?
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