Participate in Research Are you interested in participating in the ALS Global Research Initiative? Fill out the form below to share your contact information and interests with our team. Contact InformationName(Required) First Last Email(Required) PhoneStudy InformationAre you 18 years old or older?(Required) Yes Nop Please select the option that best describes you:(Required) I am a person living with ALS I do not have ALS or another neurological condition In which state or city do you currently live? AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Which study are you interested in participating in? Select all that apply Global Natural History Study Community-Based Pop-Up Clinics Do you have any questions, comments, or additional information you'd like to share?Please leave a note, and our team will follow up with you as needed:By completing this form, you agree to receive communications from Target ALS, including but not limited to information about research, upcoming events, and general updates on our initiatives(Required) I agree