Interested in joining UCSF PRHE's Science Action Network?
Please record your information here, and we will be in contact! For specific questions, please reach out to Abena at Abena.BakenRa@ucsf.edu
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Email *
Name *
Please include your name and any post-nominal letters (eg. PhD, MPH, etc)
Title *
Title at your current place of work/study
Affiliation *
Name of your university, organization, company, etc
City/State *
City/State where you work
Please list your topics and/or chemicals of expertise, be as specific as you can. *
What is yours and your organizational social media handles for any platforms you use to promote your work or connect with your colleagues? (eg. Twitter, Facebook, LinkedIn, Instagram, Research Gate, etc.) EXAMPLE: Twitter @UCSF_PRHE. Say none if none. *
How did you hear about the SAN? *
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