Moderating Rooms in All Things COVID Club Survey | Clubhouse

Thank you for your interest in moderating for the All Things COVID Club on Clubhouse. Please complete this form in order to apply to be listed as a moderator for the Club. Thanks! -The All Things COVID Club * We have a scheduled weekly room Thursdays at 12pm PST/3pm EST which is a general Town Hall Q+A with the audience on various COVID topics.

Full Name

Handle on Clubhouse

Professional Area of Expertise

Professional Title

MD or DO
MD candidate
PhD
PhD candidateOther
MPH
Other

Email Address

Organization/Insitution/Company

Are you interested in (financially) sponsoring a room?

LinkedIn Profile (starting with https://www.)

Have you moderated a Clubhouse room before?

I would like to:

Host and curate my own room
Join another already scheduled room as a moderator
Either

What would you like the room to be about?

Give an example of the title of the room.

What is your intended goal of the room?

Please follow @ShoshanaMD on Clubhouse so you can be added as a moderator to the club event calendar.

Do not submit passwords through Airtable forms. Report malicious form

Alert