Form 1 Platform Registration Form

ScHARe Platform Registration Form

Welcome to ScHARe

ScHARe (Science Collaborative for Health disparities and Artificial intelligence bias REduction) is a project powered by Terra (a scalable and open-source Google Cloud based platform) for biomedical researchers and their collaborators to access the same data and run analyses together in dedicated, secure online spaces.

To obtain access to the ScHARe platform on Terra, please fill in the form below and click on the "Submit" button. The ScHARe team will review and approve your application and send you an email with additional instructions within 3 business days.

Registration Form

The questions marked with an asterisk (*) are required.

* Name:

* Role:

* Affiliation/Institution/Community Organization:

* Affiliation email address:

* Google email address for Terra registration:

To register for a Terra account, you will need a Gmail account or another email account (an institutional email, for example) associated with a Google identity.

* Check the box below if you are interested in receiving news about ScHARe via email:

☐

* Please provide a brief description of why you want to join ScHARe:

Max 300 characters.

* Please check all that apply. I am interested in:

☐ Using ScHARe data and tools by myself or with my own collaborators

☐ Connecting with new collaborators and workgroups to conduct research and publish papers

* Please check your level of experience with the following:

None Some Proficient Expert

Python ☐ ☐ ☐ ☐

R ☐ ☐ ☐ ☐

Cloud computing ☐ ☐ ☐ ☐

Terra ☐ ☐ ☐ ☐

Health disparities research ☐ ☐ ☐ ☐

Health outcomes research ☐ ☐ ☐ ☐

Algorithmic bias mitigation ☐ ☐ ☐ ☐

Do you identify as a member of one or more of the following health disparities populations? (optional)

☐ Yes – Racial or ethnic minority group

☐ Yes – People with lower socioeconomic status

☐ Yes – Underserved rural communities

☐ Yes – Sexual and gender minority group

☐ No

What is your current ZIP code? (optional)

OMB # 0925-0766, Expiration date 04/2023

Public reporting burden for this collection of information is estimated to average 2 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0648). Do not return the completed form to this address.