Caribbean Community of Practice for Health Policy and Systems Research Application Form
(CoP4HPSR)
Name
*
First Name
Last Name
Job Title
*
Main Role Category
*
Research
Health Policy
Health Planning / Administration
Health Care Practioner
Stakeholder (E.g. NGO, CSO)
Organisation
*
Field (E.g. Mental Health)
*
Country
*
Anguilla
Antigua and Barbuda
Bahamas
Barbados
Belize
Bermuda
British Virgin Islands
Cayman Islands
Dominica
Grenada
Guyana
Haiti
Jamaica
Montserrat
Saint Lucia
St Kitts and Nevis
St Vincent and the Grenadines
Suriname
Trinidad and Tobago
Turks and Caicos Islands
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Biographical Information
*
(Please provide a short bio-sketch)
Preferences - I am interested in receiving information about:
*
Training Opportunities
Research Projects that I can participate in
Call for Proposals
Upcoming Events related to HPSR
Technical HPSR Content (E.g. Policy briefs, Articles, Reports)
Job Vacancies
HPSR Discussion Forum (Q&A)
LinkedIn Profile
Save
Submit
https://sta.uwi.edu/cchsrd/
Should be Empty: