PHA4GE

Membership Form

PHA4GE invites you to apply for membership to participate in the development of a rapid global genomic-driven public health response to disease outbreaks.

First name

Last name

Email (Google Account required for Shared Drive Access)

Affiliation (Research Institute, University etc.)

Highest relevant qualification

Country/Region

Working Group I would like to join:

What is your primary reason for joining this Working Group?

How much time are you able to dedicate to Working Group projects and initiatives?

How did you hear about PHA4GE?

Membership Type

Consent