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EHPS 2022: Synergy Expert Meeting application form
Please provide all the required information.
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Name
*
Your answer
Affiliation
*
Your answer
Country (in which you are employed)
*
Your answer
Email
*
Your answer
Job title
*
How would you describe your job title (e.g. PhD Student, Postdoc, Lecturer, Reader, Professor)?
Your answer
EHPS membership number
*
Note that SYNERGY participation requires EHPS membership and that all numbers are checked for their current membership status. If you are not yet a member, you can become an EHPS member, if your SYNERGY application was successful. Please use the following link to purchase or renew your membership:
http://ehps.net/ehps-membership
Your answer
Past experience
*
Please briefly describe your work that relates to this year's Expert Meeting topic 'Behavioural science and public health: Enhancing impact through policy and practice during COVID-19 and beyond' (word limit: 250).
Your answer
Expectations
*
How do you expect the Expert Meeting to benefit you? (word limit: 250).
Your answer
Contribution
*
What do you hope to contribute to the Expert Meeting? (word limit: 250)
Your answer
Your own publications/presentations
*
If you have authored any publications/presentations/blog posts that you think are relevant for this Expert Meeting, then please list the three most applicable here.
Your answer
Brief bio for participant pack
*
Please write a short paragraph (around 5 sentences) to introduce yourself to other participating experts. Please note we will include this short bio in the Participant Information Pack.
Your answer
Link to personal website
*
Please provide a link to your personal website (e.g. university profile, Researchgate or Google Scholar). Please note we will include this link in the Participant Information Pack.
Your answer
Synergy Welcome Event
*
Are you planning to attend the Synergy Welcome Event on Sunday evening, 21 August 2022?
Yes
NO
Synergy Social Event
*
Are you planning to attend the Synergy Social Event on Monday evening, 22 August 2022? This will be an activity (e.g. guided walking tour of Bratislava) and a dinner.
Yes
No
Hybrid Participation
*
We know it's hard to make plans these days. In general, please tell us how you would prefer to participate in the Synergy Expert Meeting.
In person
Online
Time zone
*
To help us prepare an excellent hybrid event, please let us know your time zone.
Your answer
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