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CDC Data Modernization Initiative Consortium
Invitation to participate in beta program and focus groups
1.
Name
2.
Organization name
3.
Organization type
State
Territory
Locality
Jurisdictional advocate or partner organization
Other (please specify)
4.
Email
5.
Time zone
AST
EST
CST
MST
PST
AKST
HST
Other (please specify)
We're soliciting participation from all areas of expertise and appreciate your interest. Please provide your area of expertise below to be matched with a future focus group or feedback cycle.
6.
Area of expertise
Chronic Disease Prevention
Environmental Health
Health Equity & Social Justice
Health IT and Informatics
Immunization
Infectious Disease Prevention
Injury & Violence Prevention
Maternal & Child Health
Community health
Other (please specify up to five)
7.
Job role
IT
Epidemiology
Business Development
Informatics
Health Director / DoH
Business Development
Health Director/DoH
Disease investigator or Disease Intervention Specialist (DIS)
Other contact tracer
Healthcare provider
Epidemiologist
Laboratory worker
Public information professional, e.g. Communications
Information Technology
Informatician / Informatics
Other (please specify)
