SRHP Research, Evaluation, and Ethics Committee Applicant Survey
Thank you for your interest in serving on the Research, Evaluation, and Ethics Committee within the Society of Refugee Healthcare Providers. Committee members must also be members of the Society of Refugee Healthcare Providers. The SRHP Board and Research Committee welcome all dedicated and enthusiastic individuals to complete this survey! We anticipate the survey will take about 10-15 minutes. For more information on the Committee: https://refugeesociety.org/research-and-ethics-committee/
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Name *
Degree(s): *
What is your current role/job title? *
What is your primary affiliation/organization? *
 Please list any other affiliations:
Email Address (primary contact method): *
Street Address: *
Telephone Number: *
Are you a former refugee living in the United States or Canada? *
Are you a member of the Society of Refugee Healthcare Providers? *
If not a member of the Society of Refugee Healthcare Providers, are you willing to become a member if selected for the committee? *
How many years have you worked in the field of refugee health? *
Please describe your work and experience within the field of refugee health. *
Please select the subcommittee(s) that you are interested in being a member of (select all that apply): *
Required
Do you have any expertise or experience within the field of ethics? *
If you answered yes to the previous question, please explain:
In 250 words or less, please provide a summary of why you are interested in serving on the Research, Evaluation, and Ethics Committee. *
In 250 words or less, please provide a summary of your potential contributions to the committee and/or subcommittee(s). *
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