Membership Form to join DOHaD Canada

Benefits to DOHaD Canada Membership:

- DOHaD Canada provides a forum to support cutting edge transdisciplinary research, collaboration and knowledge exchange with a goal of improving life-long health, learning and social function.
- DOHaD Canada provides and supports national networking opportunities for all members including PIs and Trainees and plans on holding an annual meeting
- DOHaD Canada will disseminate news, information and funding opportunities relevant to members
- In the future, DOHaD Canada plans to provide workshop support and Trainee programs (research and travel bursaries) that will be available to members

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* 1. Name

First Name

Last Name

Email Address

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* 2. Academic Stage

Professor

Associate Professor

Assistant Professor

Research Associate

Post Doc

Graduate Student

Other (please specify)

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* 3. Address

Institute / Organization

Address

Address 2

City/Town

Province / State

Postal Code / ZIP

Country

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* 4. Keywords: Please provide 3 keywords that identify your specific area of interest in DOHaD

Keyword #1

Keyword #2

Keyword #3

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* 5. Please provide names and e-mail addresses of your TRAINEES, so we can invite them to be members and to involve them in DOHaD Canada activities

TRAINEES - Name/e-mail

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* 6. Given our goal of inclusivity, we would appreciate you letting us know of COLLEAGUES, who you think might be interested in learning more about DOHaD Canada

COLLEAGUES-Name/e-mail

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* 7. Please provide any additional feedback below

Thank you for completing our Membership Form! If you have any questions, please contact the DOHaD Canada office:
office@dohad.ca