APPLICATION FOR COLLABORATION OF RESEARCH AND/OR
COMMUNITY BASED ACTIVITIES
Thank you for your interest in working with the Chatham County Public Health Department (CCPHD) to conduct research or other community-based activities. To effectively review all requests for our participation, we ask all potential collaborators to complete this application which provides a description of your project, how it aligns with the vision and mission of the Chatham County Public Health Department, and an explanation of the specific support activities you are requesting from us. Before completing this application, please review the mission and activities of CCPHD.