Welcome to the Patient-Oriented Research (POR) Alliance! Are you interested in joining the POR Alliance? Please complete the form below. Name * First Name Last Name Email * Primary Role in Patient-Oriented Research Researcher Patient Partner Clinician Policy Maker Staff / Administrative Other Area of Interest Is there an area of health research in which you specialize or have a particular interest? Please indicate this below. Research Summary Please provide a brief description of any research projects you have worked on or wish to highlight. Feel free to provide links to your research websites, papers or other relevant content. What do you hope to gain from membership in the POR Alliance Select all that apply Access to Patient-Oriented Research Events Training and other Learning Opportunities Networking Opportunities Exchange of Knowledge and Ideas Partners in Research Other (Provide details in space below) Consent to Publicly Share Information on the SCPOR Website Please tick each checkbox for which you consent sharing the information collected within this form. (Your consent will have no bearing on your membership) Name Email Address Area of Interest Research Summary Photo Receipt of the PORTAL email newsletter Thank you!