Guaranteed Income & Health Consortium Guaranteed Income & Health Consortium Toolkit Skip Section Navigation AboutEpidemiology Inclusion, Diversity, Equity, Anti-Racism and Science (Epi IDEAS)InitiativesMembershipHistoryStatement Denouncing RacismJob OpeningsProgramsMHS (Applied and Analytic Paths) and ScM Degrees in EpidemiologyTracksCancer EpidemiologyGoal of the TrackCurriculum and FacultyCardiovascular and Clinical EpidemiologyCurriculum and FacultyClinical Trials and Evidence SynthesisCurriculum and FacultyEnvironmental EpidemiologyCurriculum and FacultyEpidemiology of AgingCurriculum and FacultyGeneral Epidemiology and MethodologyCurriculum and FacultySocial Epidemiology CoursesSocial Epidemiology FacultyGenetic EpidemiologyCurriculum and FacultyInfectious Disease EpidemiologyCurriculum and FacultySurveillance and Outbreak Response Team (SORT)Our TeamFAQsGuidelines for Writing Statement of ObjectivesResearch and PracticeComorbid Patterns with Alcohol Use DisordersGuaranteed Income & Health ConsortiumGuaranteed Income & Health ToolkitStylish Man/Stylish Living StudyThe Chennai HIV, Hepatitis C and EERal Study (CHHEERS)Translational Epidemiology InitiativeInternalizing Symptoms and Alcohol InvolvementPediatric Antiretroviral Therapy (PART) Study in Rural ZambiaPeopleDepartment LeadershipFacultyStudentsPostdoctoral FellowsOpeningsAlumniNews and EventsNews Releases By YearContactMake a Gift Breadcrumb Home Departments Epidemiology Research and Practice Guaranteed Income & Health Consortium Guaranteed Income & Health Toolkit You must have JavaScript enabled to use this form. Indicates required field Thank you for your interest in the Guaranteed Income & Health Consortium toolkit. Please answer the brief questionnaire below and you will receive a link to access the toolkit. Name (First & last) E-mail address State of residence - Select -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming City Name of organization/institution What is your affiliation? (Check all that apply) Guaranteed income program participant Guaranteed income program implementer Guaranteed income program evaluator Guaranteed income program director Local, state, or federal government Elected government official Academic research For-profit Company/Entity Non-Profit Organization/Community-Based Organization Other (please specify) Enter other… Are you…? (Check all that apply) Considering a new guaranteed income program Part of an ongoing guaranteed income program Other (please specify): Enter other… How do you plan to use the Guaranteed Income (GI) & Health toolkit? (check all that apply) Develop a new GI program Advocate for GI programs Evaluate a GI program Attract funding or support for a GI program Learn or teach about GI Other (please specify) Enter other… May we use your contact information to follow-up with you later see how you used the toolkit? Yes No CAPTCHA Leave this field blank
