Thank you for your interest in joining an online directory of individuals engaged in research and innovation in aging in Ontario sponsored by the Seniors Health Knowledge Network (SHKN) and Ontario Interdisciplinary Council for Aging and Health (OICAH).

Benefits of participation:
  • Expanding multidisciplinary networks
  • Increased awareness of others’ work/project(s)
  • Identifying possible collaborators for grant applications
  • Building partnerships
  • Informing aging research and practice
  • Opportunities to disseminate knowledge via webinars, articles, and blogs through the SHKN
The survey should take up to 10 minutes to complete and will collect information about your demographics and interests to be included in an online profile.

By responding to this survey, you are agreeing to be listed in a Researchers and Innovators in Aging directory.  You may end your participation and remove any or all information you provide at any time.

After the directory is published, we will send annual emails to verify that your information is current.

If you have any questions, please contact the Lisa Brancaccio at brancacl@providencecare.ca or 613-544-4900 ext. 53328.
Thank you in advance for your participation.

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* 1. For our directory, please provide the following information
(Required: name and email address)

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* 2. Other applicable contact information:

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* 3. If you would like to include your headshot, please upload a photo

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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* 4. What are your main interests in aging? (select all that apply)

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* 5. What is your approach to innovation in aging? (select all that apply)

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* 6. Please share a short description of the work you are focused on, including the issues you hope to improve.

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* 7. Are you affiliated with any other organizations, groups, communities of practice (CoP),  or working groups?

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* 8. Are you interested in becoming a supervisor for any of the following? (select all that apply)

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