C4DISC -- Equity Survey Volunteer Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

If you would like to apply to participate in a working group, please complete and submit the application below. A representative will be in contact to let you know the status of your application. Please allow several weeks to receive a response.

Any person interested in furthering the work of C4DISC can join a working group. You do not have to be employed by a member organization to get involved.

Name (required) *

Email (required) *

Working Group(s) Request (required) *

Equity Survey

Other:

Phone

City (required) *

State/Province

Country (required) *

Please list any past experience or qualifications you possess that would be helpful for this working group.

What role/area are you most interested it? (required) *

Community Expertise

Survey Questionnaire

Marketing, Communications, and Design

Analyze & Report Findings

I don't know at this time

Required

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms