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Thank you for helping us expand participation in this important work! We rely on people with lived experience of ALS to help ensure research reflects the needs and priorities of the community. Please use the form below to nominate someone whose experiences, perspectives, and interests may make them a strong contributor to an ALS Research Working Group. No scientific or medical background is required.

Name(Required)
What is your nominee's connection to ALS?(Required)
Select the appropriate reply
Is your nominee aware you are recommending them?(Required)
Select the appropriate reply
Which Working Group(s) would you like to nominate them for?
Select all that apply
If we contact your nominee, may we mention that you referred them?(Required)
If yes to the above, would you like to be copied on the initial outreach?

Your Experience Can Make a Difference

Name(Required)
Your Relationship with ALS(Required)
Which best describes your connection to ALS?
Which ALS Research Working Groups(s) are you most interested in?(Required)
Select All that Apply
Have you previously participated in ALS research before?(Required)
This information will not be used to determine eligibility, but it may help us identify the best fit among available opportunities.
Are you willing and able to commit a few hours per month to working group activities (most months)?(Required)
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