Share Your Story (World Field Epidemiology Day) Question Title * 1. Full name: Question Title * 2. Job title: Question Title * 3. Institution (Employer) Question Title * 4. Country Question Title * 5. Are you a trainee or graduate of FETP, FELTP, EIS, EPIET, or similar program? Yes No Question Title * 6. If yes, please provide the name of your program and your year of graduation (actual or expected). Question Title * 7. Share a story about your work in field epidemiology that is meaningful to you. This story could illustrate a moment that made you proud, a moment that demonstrates the importance of field epidemiology, or something else that you would like others to know.Stories may be submitted in any language. Question Title * 8. Please upload a photo of yourself. Allowable file types: PNG, JPG, JPEG, GIF (file size limit: 16MB) PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Allowable file types: PNG, JPG, JPEG, GIF (file size limit: 16MB) Optional: Video StoriesIf you prefer to share your story as a video, please email your video to secretariat@tephinet.org with the subject line, "WFED Video Story." Write "I will submit a video story" in response to question #7 above.Videos should be no longer than 2 minutes. Allowable file types are MP4, AVI, MOV, and WMV. Question Title * 9. Do you authorize TEPHINET, as the organizer of World Field Epidemiology Day, to share the information you have submitted on this form in its communications materials as it sees fit? I allow TEPHINET to use this information in its communications materials. I do not allow TEPHINET to use this information. Done