Planetary Health Research Collective - Registration Form - January 20, 2027

We are thrilled to invite you to the Planetary Health Research Collective meeting, an evening dedicated to sharing its mission and achievements.

If you want to learn more about the topic of planetary health and the latest research projects, join us for this in-person event, bringing together various speakers: physicians, residents, faculty members, and medical students who will share their projects.

Pizza will be served during the session.

Date: January 20, 2027

Time: 5:00 PM to 7:00 PM ET

Location: Roger Guindon Hall, Room 1007

Registrant information

Question Title

1. Last name (Required.)

Question Title

2. First name (Required.)

Question Title

3. Email address (Required.)

Question Title

4. Occupation: (Required.)

Student

Faculty Member

Staff

Other (please specify)

Question Title

5. Degree: (Required.)

Bsc

Msc

MPH

MD

PhD

MD/PhD

PGME

Other (please specify)

Question Title

6. Program details (e.g., MSc in Epidemiology) or department (Required.)

Question Title

7. Are you registered in the SPHERE Certificate Program? (Required.)

Yes

No

Planetary Health Research Collective - Registration Form - January 20, 2027

Question Title

* 1. Last name (Required.)

Question Title

* 2. First name (Required.)

Question Title

* 3. Email address (Required.)

Question Title

* 4. Occupation: (Required.)

Question Title

* 5. Degree: (Required.)

Question Title

* 6. Program details (e.g., MSc in Epidemiology) or department (Required.)

Question Title

* 7. Are you registered in the SPHERE Certificate Program? (Required.)

1. Last name (Required.)

2. First name (Required.)

3. Email address (Required.)

4. Occupation: (Required.)

5. Degree: (Required.)

6. Program details (e.g., MSc in Epidemiology) or department (Required.)

7. Are you registered in the SPHERE Certificate Program? (Required.)