Profile

Individual Account Profile

Individual Account Profile

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If you do not have a current website, please enter 'none'.

Organization

If not applicable, please enter 'None'

Address

Please provide the mailing address you would like IAPHS to use in contacting you.
City
State/Province
Zip/Postal
Country

Personal Information

Education History

Please enter up to three degrees you have received, granting institutions, and year granted.

Primary Discipline

Please indicate the discipline that aligns with your primary training; choose "other" if needed.

Areas of Expertise

Please indicate your areas of expertise describing the skills and topical interests that characterize your work in population health. Check as many as apply.
NOTE: This list is based on entries from current members and will evolve based on your choices and entries. Use the "other category" as necessary.

Population Health Statement

Please take up to 25 words to summarize your work in population health.

Social Media/Web Services

If you participate in any of the social media platforms listed below, please provide the applicable URLs.

Volunteer Interest

Are you interested in helping with IAPHS activities? Please check all that apply.

Referral Information

We are interested in how you learned about IAPHS. Please indicate below if you were encouraged by an individual or heard about us through another source.

Membership Directory

As a member benefit, the IAPHS website includes a membership directory. The following items will appear in the directory online:

First Name, Last Name, Email Address, Phone, Company, Department, Title, City/State, Country, Credentials, Education History, Primary Discipline, Areas of Expertise, Population Health Statement, and Social Media/Web Services

If you wish to 'opt out' from appearing in the directory, please indicate below. If you do not 'opt out', your information will appear online.

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