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FR
DIVERT National Event Interest Inquiry
National Event Attendance Inquiry (2025)
Name
(Required)
First
Last
Email Address
(Required)
What is your role in DIVERT?
(Required)
Principal Investigator
Co-Investigator
Fellow (2023)
Fellow (2024)
Fellow (2025)
Associate Fellow
Do you plan on attending the DIVERT Mental Health annual event from November 17th-18th 2025?
(Required)
I plan on attending the DIVERT annual event from November 17th-18th 2025.
I do not plan on attending the DIVERT annual event from November 17th-18th 2025.
Are you interested in applying for a free registration to attend eMHIC25 a guest of DIVERT? (You must have attended both days & evenings of the DIVERT annual event)
(Required)
I am interested in applying for a free registration to attend eMHIC25 as a guest of DIVERT.
I am not interested in applying for a free registration to attend eMHIC25 as a guest of DIVERT.
You can learn more about eMHIC25 here: https://emhicevents.swoogo.com/eMHIC25
Where would you be coming from? (City, Province)
(Required)