Please Tell Us More About You and Your Level of Interest and Involvement in CORC

CORC Meeting, March 10, 2016

Please tell us more about you and your level of interest and involvement in CORC.

(Identifiable Information from you!)

Are you interested in being an active, regularly participating member of CORC? ___ YES ___ NO

Would you rather attend CORC meetings ___ outside of regular office hours or ___ during office hours?

Are you available for quarterly meetings? ___ YES ___ NO

If you answered ‘No’, what frequency of meetings would you prefer? ______

______

Are you interested in helping to establish funding priorities for CORC? ___ YES ___ NO

Are you interested in helping to establish the direction of research for the coalition itself (CORC)? ___ YES ___ NO

Are you interested in helping decide training opportunity priorities available in the region?

___ YES ___ NO

If you answered ‘YES’ to one or more of these questions, you might be interested in a leadership role with CORC!

I am interested in acting in a leadership role with CORC! ___ YES ___ NO

Please provide us with the following so we can keep you informed of upcoming meetings and events. Thank you for joining us tonight!

Printed Name:

Email Address:

Organization:

Also, if interesting project or projects came to mind whose leaders might also be interested in what CORC is and what the coalition can do, tell us more!

Project Leader:

Theme of Project:

Contact Information, if you have it (otherwise, give them Erin Solomon’s information!):