E²SHI Associates Participation Form

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E²SHI Associates
Participation Form
Contact Information
Highest Degree
Earned
Name
First
Last
Email
Telephone
Title(s)
Department
Joint
Appointments
If not applicable, enter N/A.
Affiliations
List other JHU or non-JHU institutes/programs in which you are involved. If not applicable, enter N/A.
Website
Link to your faculty web page, professional website, or other link with your CV, publication listings, etc.
Focus
Are you a:
Researcher
Instructor (Education)
Both
Research/Education Priorities and Areas of Expertise
Research/Education Priorities
Briefly describe your research/education connection and disciplinary expertise in one or more of the E²SHI related
fields (environment, energy, sustainability or health):
What research/education in collaboration with other disciplines would you like to do if funding was available?
Researchers: What audiences would you find value in working with? For example, to disseminate research findings or
implement a model/strategy based on research findings. Enter X in all audiences that apply.
Consultants
Industry / Businesses
Government Agencies
International Agencies
Government (legislative branch)
Nongovernmental / Nonprofit Organizations
Health Practitioners
Think tanks (organizations that translate research to policy)
Research/Education Areas and Expertise Enter X in all research areas that apply
If a specific area is not listed or needs further clarification, list additional items in the “Other Research Areas and Information”
section.
Agriculture and Food
Energy, Electricity
International Health
Air Pollution
Energy, Fossil Fuel
International Policy
Behavior Change
Energy, Nuclear
Mechanical Engineering
Bioethics
Energy, Renewable
Nanotechnology
Bioinformatics
Energy Policy
Population Studies
Buildings
Environmental Education
Production & Manufacturing
Cities and Built Environment
Environmental Health
Resource Management
Civil Engineering
Environmental Law
Risk Analysis
Climate Change
Environmental Management
Rural Development / Economies
Community Development
Environmental Policy
Social Entrepreneurship
Computer Engineering
Environmental Sciences
Solid Waste
Corporate Social Responsibility
Epidemiology
Sustainable Development
Developing Countries
Foreign Policy
Systems Engineering
Ecology
Globalization and Trade
Transportation
Economic Development
Governance and Participation
Urban Planning
Ecosystem Management
Health, Behavior and Society
Waste and Resource Use
Electrical Engineering
Health Policy
Water
Energy Efficiency & Use
Human Interaction
Wildlife Conservation
Engineering
Immigration/Migration
Other (complete section below)
Other Research/Education Areas and Information
Referrals
If you have colleagues you would like to recommend as an E²SHI Associate, please share their contact information.
Name
Name
Department
Department
Telephone
Telephone
Email
Email
Email completed form and a copy of your resume/CV to
E²SHI Program Coordinator at kilima@jhu.edu
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