Apply to be a panelist

Question Title

* 1. Contact Details

Name

Organization/Institution

Position/Role

Province/Territory

Country

Email Address

Question Title

* 2. What do you hope to contribute to this panel discussion? (Please refer to the call for panelists)

Question Title

* 3. Describe your experience conducting community-based research, especially related to the key themes identified in the call (1-2 paragraphs).

Question Title

* 4. Please include a short bio and link to a picture which may be used for selected panelists.