National Indigenous Kidney Transplantation Taskforce

This form is for individuals interested in joining the National Indigenous Kidney Transplantation Taskforce (NIKTT) Community of Interest Network. The Community of Interest Network provides a way for consumers and stakeholders to:

Stay informed about the work of NIKTT
Receive regular updates and communications
Be invited to participate in or contribute to activities related to NIKTT and kidney transplantation more broadly

* indicates required

What is your first name? *

What is your last name? *

What is your cultural identity? *

Where in Australia are you located? *

Which best describes you? *

Person with lived experience of kidney disease
Carer, family member or support person for someone with kidney disease
Health Professional
Researcher
Government and Policy
Other

What is your current job?

Where do you work?

What is your email address? *

What is your phone number?

Consent *

I agree to be contacted by NIKTT about relevant activities, opportunities, and events. I understand my information will be kept confidential and used only for NIKTT-related purposes

NIKTT Network Registration Form