Global Health Strategies for Security (GHSS) 2024 - Participant Demography Survey

Please complete the following demographics form. This will allow USU CGHE to better tailor the course and provide classroom information to lecturers and invited speakers.

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* 1. First Name:

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* 2. Last Name

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* 3. Preferred Written Name (for table tents and certificates)

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* 4. Affiliation

U.S. Military (Active Duty, Reserve, Guard, etc.)

U.S. Military (civilian or contractor)

U.S. Government (civilian or contractor)

Partner Nation Military (Active Duty, Reserve, Guard, etc.)

Partner Nation Military (civilian or contractor)

Other (please specify)

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* 5. Rank/Title (Col, LCDR, Dr., etc.)

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* 6. Military Service Branch

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* 7. Command/Unit/Organization

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* 8. Job Title

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* 9. Combatant Command or Regional Alignment

INDOPACOM (Indo-Pacific, Southeast Asia, Oceania)

CENTCOM (Middle East, Central Asia, South Asia)

EUCOM (Europe)

AFRICOM (Africa)

SOUTHCOM (Central and South America and the Caribbean)

NORTHCOM (U.S., Canada, Mexico)

N/A

Other (please specify)

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* 10. Official Email

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* 11. Share email with speakers and other participants?

Yes

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* 12. Gender

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* 13. Are you interested in taking part in a brief interview about your work in Global Health Engagement for use in future USU CGHE training products?

Yes