Qualtrics Survey | Qualtrics Experience Management

SD CFAR Women in HIV Research Affinity Group Membership

This survey is intended to develop a membership profile for participants in the Women in HIV Research Affinity Group. Details will be shared with other members to best facilitate networking, provide information needed to help promote and support fellow members, and connect regarding relevant opportunities.

Name

Professional Degree(s)

Academic/Professional Title

Department/Division

Institution/Organization

Website

Email

Phone

Please select the option that best describes you:

Senior faculty
Mid-level faculty
Junior faculty or early stage investigator
Trainee
Community member
Other (describe)

Professional memberships, committee positions, etc.:

Professional interests and expertise:

Current research projects:

Career goals:

Training I would like to receive: (select all that apply)

Academic advancement
Salary negotiation
Grant writing (provide specifics on type)
Research ethics
Authorship
Human subjects / IRB
Work/life balance
Other (please specify)

Additional details/needs on the above training(s):

I have the following skills to share with the Women in HIV Research Affinity Group:

Additional information to share with members of the Women in HIV Research Affinity Group (e.g., interests for collaboration, ideas for group activities, etc.):