Expression of Interest

Please fill out a few details to submit your expression of interest in being part of the community advisory group for this piece of work.

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* 1. Name

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* 2. Organisation (if applicable)

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* 3. Email address

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* 4. Why would you like to be part of the advisory group? (50 words)

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* 5. In order to ensure a diverse representation of the HIV community on this group we kindly ask you to complete some demographic information as well:

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* 6. How do you identify your gender?

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* 7. Is this the same gender you were assigned at birth?

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* 8. How old are you?

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* 9. How would you describe your ethnicity?

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* 10. Which of the following best describes how you think of yourself?

0 of 10 answered
 

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