Request to join

Please complete the form below to request a TEPHIConnect account. If your request is approved, you will receive a confirmation email with a link to activate your account so that you may begin using TEPHIConnect. Your account will not be usable until you activate it.

By submitting this form, you confirm that you have read and understood the TEPHIConnect Terms of Use and Privacy Policy.

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Tips for completing this form:

FETP Affiliation: This field will auto-populate as you begin typing the name of a country or FETP. If you are affiliated with more than one FETP, you may enter more than one.
FETP Graduation Date: If you do not remember the exact date of your graduation, please approximate as best as you can or contact your program to confirm. If you are not an FETP graduate, please type in 01/01/1980 as a filler answer.
Highest Level of FETP Completed: If you do not know the level of your field epidemiology training program (basic/frontline, intermediate, or advanced), please contact your program to confirm.

* Required fields are marked with an asterisk

Gender *

Given Name *

Surname *

Email *

FETP Affiliation *

FETP Information

FETP Graduation Date *

Highest Level of FETP Completed *

FETP Regional Network Affiliation *

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Consent for usage data: This information will be used to record information about the user and build a user profile in the system (if approved) *