Request to Join InCHIP Research Interest Groups Name* First Last Email* What role do you currently have?* UConn Faculty UConn Staff UConn Graduate Student UConn Undergraduate Student Non-UConn Faculty Staff/Researcher at Community Organization or Government Agency Industry Researcher What department, center, institute, or office is your primary appointment through?* What company, organization, or institution do you work for?* Which research groups would you like to join?* Aging Research Interest Group Cancer Research Interest Group eHealth/mHealth Research Interest Group Gun Violence Prevention Research Interest Group HIV Research Interest Group Interprofessional Healthcare Research Interest Group Mind-Body Health Research Interest Group Obesity Research Interest Group InCHIP’s RIGs provide a forum for researchers to connect with other researchers in person and via each RIG’s respective listserv. Do we have your permission to add your email to the RIG listserv(s)?* Yes No PhoneThis field is for validation purposes and should be left unchanged.