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INGSA North America: stakeholder individuals
This form enables you to contribute to a database of relevant stakeholder individuals for the North American chapter of INGSA (
ingsa.org
).
Before you make an entry, please check the database to see whether the individual has already been entered:
https://docs.google.com/spreadsheets/d/1Jxs0qwVQisSTw1HwQ4hEsjNlzdJWUxHH5LLzjES3QtQ/edit?usp=sharing
Also, the form available here enables you to contribute to a database of relevant stakeholder organizations:
https://forms.gle/F1BWruDCiWuYnETe7
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* Indicates required question
Individual's family name
*
Your answer
Individual's given name
*
Your answer
Professional email address
*
Your answer
Name of employer/associated institution
*
Your answer
Country of residence
*
Canada
Mexico
United States
Other:
Preferred language(s) of communication
*
English
French
Spanish
Other:
Required
Thematic area(s) of activity
*
Business / Management
Development
Health / Medical
IT & Technology
Natural / Built Environment
Physical Sciences
Politics / Government
Social Science / Humanities
Other:
Required
Engagement with science advice
*
"Supplier:" Development, stewardship of the knowledge base
"Intermediary:" Knowledge translation and brokering
"User:" Decision-making informed by evidence
Required
Is this a student or early-career individual?
*
Yes
No
Has this person previously engaged with INGSA?
*
Attended an INGSA workshop
Led/mentored an INGSA workshop
Provided translation services
Published a guest blog post or case study on the INGSA site
Contributed to an INGSA planning session (in person, teleconference, or written submission)
Subscribed to the INGSA newsletter
No engagement so far with INGSA
I don't know (creating an entry for someone else)
Other:
Required
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