Are you interested in joining the Research Committee*Choose OneYesNoFirst Name* Last Name* Email* Institution* Area of Specialty 1*Choose OneBilliaryCancerEndoscopyEsophagusIBSFunctional Bowel DiseaseGeneral EndoscopyGI BleedingIBDIBSIntestineLiverMicrobiomeMotilitySmall IntestineOutcomesPancreasPediatricsPeds LiverPharmacoepidemiologyStomachTranslationalTransplantOther – Molecular Basis of Disease/Genetics, Obesity, etc. (please list below)Other area of specialization (if not found under area of specialty 1) Area of Specialty 2*Choose OneBilliaryCancerEndoscopyEsophagusIBDIBSIntestineLiverMicrobiomeMotilityOutcomesPancreasPediatricsPeds LiverPharmacoepidemiologyStomachTranslationalTransplantOther – Molecular Basis of Disease/Genetics, Obesity, etc. (please list below)Other area of specialization (if not found under area of specialty 2) Area of Specialty 3Choose OneBilliaryCancerEndoscopyEsophagusIBDIBSIntestineLiverMicrobiomeMotilityOutcomesPancreasPediatricsPeds LiverPharmacoepidemiologyStomachTranslationalTransplantOther – Molecular Basis of Disease/Genetics, Obesity, etc. (please list below)Other Do you have any experience with survey research?*Choose OneYesNoDo you have a MPH, MSCR or other formal research methods training? Please list.* Do you have experience as a reviewer for the NIH, AHRQ, PCORI, DoD, or CIHR?*Choose OneYesNoHave you been the PI of a competitively awarded, peer-reviewed grant from a federal agency? (NIH, AHRQ, VA, DoD, CIHR etc)*Choose OneYesNoHave you previously received a grant from the ACG?*Choose OneYesNoPlease list the type of grant(s) and year(s)* Upload a copy of your CVAccepted file types: word, pdf, Max. file size: 50 MB.PDF or Word.
