Become a Member

 

1. General Information
.

Fields marked with an asterisk (*) are mandatory.
.

First name*  
Last name*  
Email address*  
Please confirm your email*  
Job title/role*  
Organization name*  
Country*  
URL*  
Category*  

 

2. Area of expertise

Please indicate your area of expertise.*
 
   

3. Intention  

3.1. Please indicate why you are interested in
becoming a GNHiAP member.*

 
   
3.2. Please describe your work, and engagement in HiAP
(e.g., have you implemented HiAP, have you advocated
for HiAP, have you done research on HiAP?, etc.).*
 
   

3.3. Please indicate the type of contribution (in-kind or financial)
that you could provide to support the work of the network.*

 
   
Willingness to serve on the Executive Committee of the GNHiAP

.
The Executive Committee (EXCOM) provides leadership to support
the activities of the GNHiAP. Serving on the EXCOM requires the following:

- Commitment of a minimum of 12 months
- Commitment to participate in about 8 EXCOM meetings/year
- Commitment to take on operational tasks when required

Please indicate if you would be interested in serving on the EXCOM in the future.*
YesNo

 

I confirm the informations provided* 

If you experience problems filling out this form, please contact us at: GNHiAP@inspq.qc.ca