BIG Health Consortium™ Participant Profile

We are pleased that you have decided to engage in the BIG Health Consortium™. To further our efforts in building this community, we are posting participant profiles to the BIG Health wiki so you are better able to connect with colleagues and partners. You may also download the form here and email it to connector@bighealthconsortium.org. We also encourage you to submit a high resolution to be posted along with your profile.

Please note that your contact information will be posted online at the BIG Health Wiki in order to facilitate communication and collaboration among existing participants. We recommend that you only include information you are comfortable sharing online, since it may be searchable through a browser.

( * indicates required fields )

* Name:
Degree:
* Title:
* Organization:
* Phone:
* Email:
* Organization URL:
* Biography: (250 Words or Less)
* Organizational Overview: (250 Words or Less)

For Internal Purposes Only (will not be posted on the Website)

* How did you hear about the BIG Health Consortium®?
* How are you currently engaging in BIG Health?