ACCORDS Affiliate Application

ACCORDS Affiliate Application

Thank you for your interest in collaborating with ACCORDS as an Affiliate.

By joining the Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS), you'll stay informed about our latest education programs, events, and activities. Here is what it means to be an ACCORDS Affiliate:

ACCORDS Affiliate: Any faculty member who aligns with ACCORDS' research focuses on T3/T4 health services and outcomes research. Affiliates can attend and participate in ACCORDS' educational programs and research groups/WIPs. Additionally, Affiliates have ready access to consultations from ACCORDS cores and programs.

Submit your information below to stay updated and become part of our vibrant community.

Name*

E-mail Address*

Degree(s)*

Indicate Affiliation*

Academic

Clinical/Hospital

Both

Other

Academic Affiliation*

Select or enter value

Other

Academic Department*

Academic Division/Section*

Clinic/Hospital Affiliation*

Select or enter value

Other

Faculty Rank*

Select or enter value

Other

Department*

Division/Section, if applicable

Are you affiliated with a Center or Institute?

Yes

Center or Institute Affiliation*

What are your key research areas/topics?*

What areas are you interested in within ACCORDS?:*

Select

Are you interested in finding out more about our fellowship and mentoring programs?

Yes

Send me a copy of my responses

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