** Please note: the selection of the Community Reference Panel has been completed. Please sign up for interviews or further information **

Thank you for your interest in participating on the Community Reference Panel. 

This secure form asks several questions that help us randomly select Community Reference Panelists that broadly represent the community. 

This information is not shared with anyone. The personal information collected will be deleted by the Community Reference Panel on or before May 30, 2021.

You can also register by talking to one of our staff by calling 1-866-508-1435.