Listserv Creation Request Name(Required) First Last Email(Required) What department are you in?(Required)BiostatisticsClinical and Health PsychologyCollege AdministrationEnvironmental and Global HealthEpidemiologyHealth Services Research, Management and PolicyOccupational TherapyPhysical TherapySpeech, Language and Hearing SciencesOtherDate requested for listserv to be created(Required) MM slash DD slash YYYY Is this request being submitted on behalf of the department staff/faculty member listed or on behalf of a lab/organization/project with which they are affiliated?(Required) Faculty/staff member Lab/organization/project What is the name of the lab/organization/project?(Required)What element of our mission statement does your listserv support?(Required)(Select one or both) We shape tomorrow’s public health and health professionals through dynamic and responsive educational programs, transformational research, groundbreaking discoveries and equitable health-related service. Our collaborations within the College and beyond advance the breadth of knowledge, the quality of science and the attainment of professional distinction. With which of the following college values does your request align?(Required)Select all that apply. Collaboration Excellence Integrity Respect Social Responsibility Wellness Who is your target audience for this request?(Required) Students Faculty Staff Is there a specific department(s) you are hoping to reach?(Required) Yes, I would like to reach faculty in a specific department No, I’m hoping to reach out to all PHHP faculty Is there a specific department(s) you are hoping to reach?(Required) Yes, I would like to reach staff in a specific department No, I’m hoping to reach out to all PHHP staff Which student group are you trying to reach?(Required) Undergraduates Graduate students Specific degree program Which specific degree program(s) is your target audience a part of?(Required)Which department(s) is your target audience a part of?(Required)What is the goal of your request?(Required)
