Centre for Health Informatics Space Request Form

The Centre for Health Informatics Space Committee reserves the right to approve or deny any request for space at the committee's discretion. Questions or concerns can be sent to chi@ucalgary.ca

Full Name

What is your affiliation with the Centre for Health Informatics?

How does your work align with the Centre for Health Informatics vision statement "Advancing and Innovating health informatics for Precision Medicine and Precision Health"?

Currently, what research or professional groups are you affiliated with?

Are you willing to give up your current office or space to move to the Centre for Health Informatics?

Yes

Do you have staff you would want to move to the Centre for Health Informatics?

Yes

If yes, how many staff would require space in the Centre for Health Informatics?

The Centre for Health Informatics is a secure office space that requires card access. Are there other staff that would need access to the space? Please include names and UCID numbers.

Collection of personal information
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