Interested in Working With BariNation?
BariNation partners with outstanding licensed and credentialed professionals to share expert advice on our weekly podcast, help us lead accessible and meaningful educational opportunities in our Membership Community and beyond. If you are interested in learning more about BariNation and working with us, complete this form. 
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What is your professional role?
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What credentials and licenses do you hold and from what institution or organizations did you earn them through?
Are you a member of any professional organizations? If so, please list them.
How did you discovery BariNation?
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In your own words, how would you describe BariNation?
What is the mission of BariNation?
What kind of experience do you have working with bariatric patients or in the field of obesity medicine? How long have you worked in these fields?
What roles are you interested in pursuing in BariNation? Check all that apply
Why do you want to work with BariNation?
What skills, insights, opportunities, or value would you bring to BariNation Members and the greater bariatric community?
What else would you like us to know about your, your professional experiences, and the value you could bring to BairNation?
A copy of your responses will be emailed to the address you provided.
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