Bio Page Update Request | Institute for Collaboration on Health, Intervention, and Policy (InCHIP)

If you are affiliated with InCHIP and your bio page has become outdated (you can check it here), or if you would like to create a bio page, InCHIP has an update form which you can fill out below!

Date
MM slash DD slash YYYY
Name*
First Last Suffix
Office Mailing Address
Street Address Address Line 2 City State ZIP Code
Position
Office Phone
Email*
Institution / Organization
Department / School
EDUCATION: Please list all undergraduate and graduate degrees completed, with year, concentration / major, and institution*
RESEARCH INTERESTS: Please write a brief paragraph (150-200 words) about your research interests. This should include: (1) general topics in which you are interested, (2) project(s) you are working on or planning to work on as an InCHIP affiliate, (3) past projects you have worked on at UConn or other institutions, and (4) other relevant information.)
PUBLICATIONS: Please cite up to 15 of your research publications
Please indicate which of InCHIP’s multidisciplinary research groups, if any, you are currently a member of, or would be interested in joining. For more information about a particular research group, click on the group’s name.
Would you like to upload an updated vita?
Accepted file types: pdf, doc, docx, txt, Max. file size: 100 MB.
Accepted Formats: PDF, Word Doc, Text
Would you like to send an updated picture?
Accepted file types: jpg, png, Max. file size: 100 MB.
Accepted Formats: JPG, PNG
Email
This field is for validation purposes and should be left unchanged.