Community Engagement
REGISTRATION

Partners in Research is a collaborative training program designed to prepare community organizations and academic researchers to work together to improve community health.

To register for the Community Engagement Workshops,

  1. Complete and submit the online form below
    OR
  2. Print the registration form and fax or mail the form to:
    Janna McCants-Smith, YOUR Center, 4002 N. Saginaw St., Flint, 48505, Fax: (810) 789-8638, Janna.McCants@yc4w.org>
    Click here to register for Researcher Engagement

Contact Information

(Last, First)

* Required






Please provide us with some brief information about yourself:

What is the mission of your organization?

Why are you interested in participating in Partners in Research?

Please describe any previous experience working with academic researchers:

Demographic Information (Optional)
Gender:
(Please Select)

Race/Ethnicity:
(Choose all that apply)