Join Us

If you participated in Phase I, please indicate which subcommittee you were a member of:*

N/A - New member or member at large
Strategic Policy & Acceptability
Communications
Operations & Logistics
Clinical Workforce Recruitment
Community Health Linkages
Legal, Advocacy & Human Rights
Training & Support
Research & Evaluation

Please select your preferences for engagement in PHASE II:*

See link above for subcommittee information.

Resource Curation
Quality, Equity & Human Rights
Platform Development
Communications
Community Engagement & User Interface
Strategic Policy
I am unable to be an active member but would be willing to respond to queries related to my expertise. to
I am unable to be an active member but would like to be put on an email distribution for resources/plans developed.

Would you be willing to serve as a permanent or rotating Chair of one of the above Committees?*

Yes, permanent Chair
Yes, rotating Chair
No

The following demographic information will help us understand the breadth of representation on the Task Force. Your information will not be shared without permission.

Address*

State/Province/Territory

Country*

Name*

First Name Last Name

Title/Credentials

Affiliation

Email*

Name

This field is for validation purposes and should be left unchanged.