QIP Education Series Registration

[contact-form to=’qip@hsph.harvard.edu’ subject=’QIP Education Series’][contact-field label=’Attendee%26#039;s Role’ type=’select’ options=’Principal Investigator,Co-Investigator,Project Manager,Research Coordinator,Research Assistance’/][contact-field label=’Name’ type=’text’/][contact-field label=’Department’ type=’text’/][contact-field label=’E-mail’ type=’text’/][contact-field label=’Telephone Number’ type=’text’/][contact-field label=’PI%26#039;s Name (If attendee is not the PI)’ type=’text’/][contact-field label=’What%26#039;s new with ESTR? (September 11 – Countway Library) 9:30 a.m. – 10:30 a.m.’ type=’checkbox’/][contact-field label=’How many years have you worked in research?’ type=’select’ options=’0-1,1-5,5-10,10+’/][contact-field label=’Have you previously utilized QIP services or attended a QIP education session?’ type=’select’ options=’Yes,No’/][contact-field label=’How did you hear about the session?’ type=’select’ options=’Friend/Collegue,Professor,Flyer,E-mail,Staff Heads Up,Student Portal,HSPH Campus Plasma TV’/][/contact-form]