Communicating with Diverse Populations Peer Learning Network Application Survey

Thanks for your interest in participating in the Peer Learning Network on “Communicating with Diverse Populations: How to use translated materials, health literacy techniques and other media to address patient language barriers.”

For a complete description of the topic and how the network will function, please look at:

http://www.diversityrxconference.org/PLN

If you're ready to go:

1. Please enter the following information:

Please enter the following information: Name:
Title:
Organization:
State
Country:
Email Address:

2. What issues related to communicating with diverse populations through translated materials, health literacy techniques, and using other media would you like this group to address?

What issues related to communicating with diverse populations through translated materials, health literacy techniques, and using other media would you like this group to address?

3. The value of the Peer Learning Network comes from the active and regular participation of all members. What successes or challenges in your organization related to this topic could you discuss with the group?

The value of the Peer Learning Network comes from the active and regular participation of all members. What successes or challenges in your organization related to this topic could you discuss with the group?

Please proofread your answers before sending -- this information will be used to introduce you to the others in the Network.

When we approve the first batch of applications (by January 1, 2010), we will email you a confirmation of your subscription. After January 1, we will process applications once a week, so don't be concerned if there is a short delay before you receive the confirmation email.

Thank you for applying for this Peer Learning Network -- we look forward to your participation.

Communicating with Diverse Populations Peer Learning Network Application

1. Application for the Communicating with Diverse Populations Peer Learning Network

1. Please enter the following information:

2. What issues related to communicating with diverse populations through translated materials, health literacy techniques, and using other media would you like this group to address?

3. The value of the Peer Learning Network comes from the active and regular participation of all members. What successes or challenges in your organization related to this topic could you discuss with the group?