Sign up to receive periodic updates from the
IHAP TAC
, including strategies, tools, and training to support your integrated HIV/AIDS planning process.
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Name:
Email:
Comment:
First Name
Last Name
Email Address
*
Organization Name
Zip Code
Which label best describes your workplace setting?
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Planning Council/Planning Body for HIV Prevention and/or Care
CDC DHAP supported HIV prevention or surveillance program
Part B recipient/ state health department
Part A recipient/city or county health department
Federal Agency
TA provider
Other: Please specify below
If you selected "Other", please describe.
Part A affliation
Part B Affiliation
Federal Agency
CDC funding
Prevention
Surveillance
Other
TA Provider
What best describes your role within HIV planning?
Planning council/planning body member for HIV prevention and/or care
Part A recipient/city or county health department
Part B recipient/state health department
Federal agency
CDC DHAP supported HIV prevention or surveillance grantee
TA provider
Other role with HIV Planning
N/A or not involved in HIV planning
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