The GC Immersive at Color Participant Enrollment Form

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Get the real-world experience needed to get into a Genetic Counseling program by learning from within Color — one of the field’s leading genomics companies. All remote. All friendly. All are welcome here.

Please fill out this form to gain enrollment into the program. Enrollment for this session will be available from October 2023- November 30, 2023. Another session will be made available in Spring 2024.

Your comments may be used in Color’s promotional materials or with other researchers and publications and will remain anonymous. No names or identifying information will be shared.

DEMOGRAPHIC QUESTIONS

These are questions about yourself to help us understand our participant population. Your comments may be used in Color’s promotional materials and will remain anonymous. No names or identifying information will be shared.

Name *

Email address *

Phone Number

Gender

Pronouns (e.g., she/her, they/them, he/him) *

Age *

12-19

20-29

30-39

40-49

50-59

>60

Zip code (primary residence) *

Time zone *

Country of Residence *

USA

Mexico

Canada

Other:

If Country of Residence is "Other", please state your country here. *

Do you identify as an Underrepresented Minority* in the Genetic Counseling field? Please answer all that apply.*Underrepresented minority characteristics include, but are not limited to; age, race, ethnicity, sex, gender, sexual orientation, socioeconomic status, country of origin, culture, language, religion, spiritual beliefs, legal status, health history, and disability. *

Ethnic/ racial minority in the United States

LGBTQIA+

Disability community

Deaf community

Rural resident

International resident

Second- career applicant

First- generation college graduate/ student

Neurodivergent or learning disability

Veteran

Chronic illness

Prefer not to say

Other:

Required

If you answered "Other" to the previous question, please specify here. *

How did you hear about this program? *

Facebook

Twitter

Other social media platform

Message board

Color Genetic Counselor

Color Employee

Other Genetic Counselor

Genetic Counseling program

Other

If you answered "Other" to the previous question, please answer how you heard about the program. You can answer "N/A" if this does not apply. *

Why are you interested in this program? *

Seeking experience with a genetic counselor as an applicant to a graduate program.

Hoping to learn more about genetic counseling before deciding on a career path

Other:

If you answered "Other" to the question above, please explain here. *

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