ACADEMIC AFFILIATE APPLICATION

Want to become an Academix Affiliate member of GEHNA?

Thank you for your interest in joining the Global Equine Health & Nutrition Association (GEHNA).

By providing the information below, you not only receive free membership to GEHNA, but you are also helping to bridge the gap between science and industry, contributing to the optimal health of horses worldwide.

Please provide the following information to become an Academic Affiliate member of GEHNA and to be included in the Shared Knowledge Portal.

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* 1. Name (this person is the main contact responsible for the research group)

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* 2. Title

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* 3. E-mail address

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* 4. Phone number

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* 5. University

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* 6. Faculty

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* 7. Department

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* 8. Research Group (if individual is part of a larger group)

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* 9. Researcher / Group expertise areas

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* 10. Brief description of your research program (250 words or less)

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* 11. Upload a picture of yourself for your profile.

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* 12. Upload a university or department logo that you would like associated with your profile. Please ensure that the university standards on logo use and quality are being met.