Government Department

Government Organization

Industry Affiliation / For Profit Organizations

Philanthropic Affiliation / Not for Profit Organizations

Other Affiliation

How do you self-identify in terms of gender:

Do you self-identify as a member of the LGBTQ+ community? Yes No Prefer not to respond

Do you self-identify as an Indigenous/Aboriginal person? Yes No Prefer not to respond

Do you self-identify as a member of a racialized/visible minority group? Yes No Prefer not to respond

Do you identify as a person with a disability? Yes No Prefer not to respond

Are you willing to have your research highlighted in CIMVHR materials or on social media? Yes No

Disclaimer: CIMVHR will not promote you or your non-CIMVHR research without contacting you in advance for approval.

Would you be willing to be contacted as a subject matter expert in your field for media inquiries? Yes No

Which Canadian cities would you be willing to travel to attend CIMVHR events? WESTERN CANADA Vancouver PRAIRIES Calgary Edmonton Saskatoon Regina Winnipeg ONTARIO London Hamilton Toronto Kingston Ottawa QUEBEC Montreal Quebec City Atlantic Canada Fredericton Moncton Charlottetown Halifax St. John’s N/A