Networking Membership Application Form

Welcome!

Thank you for your interest in joining the Infection Prevention and Control (IPC KSA) Community in the Kingdom of Saudi Arabia.

Our community is dedicated to advancing healthcare excellence through effective infection prevention and control practices. By becoming a member, you will have opportunities to network with IPC professionals, participate in educational activities, share best practices, and contribute to improving patient safety across healthcare facilities in Saudi Arabia.

Personal Information

Full Name

Professional Title/Position

Organization/Hospital/Institution

Department/Unit

City

Country

Email Address

Mobile Number

Professional Background

Years of Experience in Healthcare:

Years of Experience in Infection Prevention and Control:

Professional Certifications (if applicable):

Areas of Interest

Community Participation

How would you like to participate in the IPC Community?

Attend educational webinars Participate in networking events Join working groups or committees Present at conferences or meetings Conduct research collaborations Share best practices and success stories Volunteer for community initiatives Other:

Please describe any expertise, projects, or experiences you would like to share with the community:

Communication Preferences

Preferred Method of Communication:

Email WhatsApp LinkedIn Other:

I agree to:
Participate professionally and respectfully within the IPC KSA Community.
Support the goals and objectives of infection prevention and control.
Receive communications related to community activities and events

I confirm that the information provided in this application is accurate and complete.