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Meharry Community Engagement Core Survey (Short)

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Thank you for your interest in partnering with the Meharry Community Engagement Core. Certain racial/ethnic groups in the United States, including African Americans and Hispanics, continue to have worse health outcomes. Meharry has a long history of partnering with various community stakeholders to address this problem. The Core will continue and enhance this partnered approach by supporting research development, implementation, and sharing of research study results.

We need more dedicated partners to tackle health disparities in a more impactful way. This includes the need for new ideas. Your completion of this brief survey is an important step in this process.

Enter your first and last name.

* must provide value

Date of Birth.

* must provide value

M-D-Y

Enter an email address that you check regularly.

* must provide value

Enter your mailing address.

* must provide value

Enter a phone number that you answer regularly.

* must provide value

Specify your gender

* must provide value

Male

Female

Non-binary / third gender

Prefer to self describe

Prefer not to say

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Please self describe your gender.

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In thinking about partnering with the Meharry Community Engagement Core, which statement describes the role you're interested in?

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I will represent a community-based organization (Community-based organization representative).

I will not represent a community-based organization. (Community member representative).

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Organization Name

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Describe the mission and/or goals of your organization.

* must provide value

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Tell us how you would like to partner with us. Check ALL opportunities that interest you. We will follow-up to provide more details.

* must provide value

Host community outreach events at your organization in partnership with Meharry Community Engagement Core (Community-Based Organization Only).

Share your positive research experiences with others.

Assist in sharing research findings with your network, including friends, family, & church members.

Learn more about serving as a research study participant in Meharry research studies.

Serve as a research team member or advisor for Meharry research studies (Participate in Community Engagement Studios).

Co-lead a research project with a Meharry researcher

Do you have a research project idea that you are ready to discuss with a Meharry researcher?

* must provide value

Yes

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Please provide a brief description of your research project and how you would like to partner with a Meharry researcher.

* must provide value

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We welcome ideas! Please share other ways you might want to partner.

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Would you like to receive email updates and announcements from the Core ?

* must provide value

Yes

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How did you get access to this survey?

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You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.