AYR Application Form

Social Media

What social media do you routinely used?

Facebook Twitter WeChat Weibo LINE

What information would you like on the APLAR social media platform?

Conference and educations details Online course and webcast Research opportunities Special Interest Group and Discussion Ask the Expert/Professor Session All of the above

Name as it appears in Twitter and Facebook (so that you could be invited to follow APLAR pages)

Education

Does your country have a formal Residency program for Rheumatology? If no, where have you done your Rheumatology training?

What are the conferences that you have attended at least once so far ?

ACR EULAR BSR APLAR IOF ESCEO

How do you expect the AYR to help you in terms of education?

Online courses of Rheumatology AYR symposium during APLAR Networking for research purposes Information about available courses and learning opportunities

Country Liaison

Are you interested to liaise/collaborate with other countries in areas of research or education?

Yes No Not sure

If your answer is yes, which mode of communications would you like to use to liaise with other countries?

Email Facebook WhatsApp WeChat LINE

If you would like to liaise with other countries, what are the areas you would like to be involved in?

1. Education (Case discussion/Online tutorials)

	1	2	3	4	5
Least						Most

Discussion Online Tutorials Topic Review Webminar

2. Social Media (Voice of APLAR/Facebook/Twitter/WeChat)

	1	2	3	4	5
Least						Most

Voice of APLAR Facebook WeChat Twitter LINE

3. Country Liaison (Data collection/Disease Registry/Social event)

	1	2	3	4	5
Least						Most

Data Collection Disease Registry Social Event

Are you interested in clinical attachments within Asia?

Yes No

If yes, what duration would you prefer?

2 - 4 weeks 4 - 8 weeks More than 8 weeks

AYR Application Form

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