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Institute for Global Health at C&W Membership Application

Introduction: Thank you for your interest in becoming a Member of the Institute for Global Health at BC Children's and Women's Hospital + Health Centre (IGH-CW).

Personal information: Your personal information is protected by our privacy law in BC. This law is called the Freedom of Information and Protection of Privacy Act (FIPPA). We are collecting your information under section 26 (c ) of FIPPA.

Short description: Members of IGH-CW collaborate to improve the health and well-being of women, children, and their families around the world. Our impact is driven through the strengthening of both local and international capacity through research, education, and partnerships.

There is no cost to membership.

Benefits to IGH-CW membership include:

Building and strengthening a community passionate about Global Health.
Opportunities for collaboration and coordination.
Conferences and events.
Trainee matching.
Knowledge dissemination.
Newsletter with publications, events, and grants.
Networking and mentorship through IGH-CW supported workshops, spotlight series, and seminars.
Access to seed and clinical trainee travel grants.
Pre-departure training materials.
Forging connections and supports for international trainees.

Eligibility:

Engaged or interested in Global Health efforts related to children's and women's health.
Willing and committed to actively participating in at least 1 or more Global Health activities per year (e.g. amplifying Global Health efforts, collaborating with an IGH-CW member, attending a Global Health event, networking, working groups, strategic planning, responding to Global Health survey questions etc.).
One of:
- Global, Provincial or National partner with a current collaboration with an active Member of IGH-CW, OR
- Currently staff or faculty at C&W, BCCHR, WHRI, BCCHF, or BCWHF, OR
- Trainee (Undergraduate, Graduate, Clinical Resident/Fellow etc.) supervised by a C&W Member.

Membership responsibilities:

Committed to collaboration and sharing of information for the benefit of other members and partners.
Participate in at least one IGH-CW Global Health event per year.

First name

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Last name

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Email address

* must provide value

Please select your main affiliation

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I collaborate with an IGH-CW member e.g. Global/National/BC partner (including faculty members, co-investigators, staff, trainee, volunteer, etc.)

BC Children's Hospital & BC Women's Hospital + Health Centre

BC Women's Hospital + Health Centre

BC Children's Hospital + Sunny Hill Centre

BC Children's Hospital Research Institute

Women's Health Research Institute

BC Children's Hospital Foundation

BC Women's Health Foundation

Other

What is your connection with C&W or an IGH-CW Member?

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Other

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Which of the following describes your position? (check all that apply)

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Nurse

Allied Health Professional (please specify below)

Staff

Principal investigator or clinician scientist

Affiliated investigator (e.g., co-I)

Physician

Professor (Full, Associate, Assistant etc.)

Clinical faculty

Clinical fellow/Trainee (post-MD)

Postdoctoral fellow or Doctoral

Graduate or Undergraduate student

Other (please specify)

Other

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What field of Global Health activity is your work in?

* must provide value

Maternal/Reproductive and/or Women's Health

Child/Neonatal Health

Infectious Diseases

Non-communicable Diseases

Other

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Which of the below Global Health activities are you involved in?

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Research

Education

Clinical service

Policy development

Advocacy

Other

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What country/countries does your work take place in?

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What are your current connections with IGH-CW?

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Attended previous events such as conferences, seminars, workshops, or meetings

Received support such as Global Health Trainee grants, Seed grants, or other

IGH-CW Working Group member

IGH-CW Executive Committee member

No connections

Other

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I consent to IGH-CW publishing my profile to IGH-CW's website or other promotional materials. (optional)

Yes

Maybe

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Please provide a short biography (optional)

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Please upload a headshot or recent photo (optional)

Upload file

Would you like to subscribe to the Institute for Global Health newsletter for global health updates, events, and opportunities?

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Yes

I am already subscribed

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To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.