Virginia Dermatology Trainee Advocacy Day 2024: Registration
Hi all!

Please complete this form to register for our virtual 2024 Virginia Dermatology Trainee Advocacy Day (VADTAD) on Wednesday, May 8th, 2024! For more info, check out our official website, www.vadtad.org
and the national Dermatology Trainee Advocacy Group website at https://www.thedtad.org/!

Thank you, and happy advocating!
VA Dermatology Trainee Advocacy Day Co-Chairs
Sign in to Google to save your progress. Learn more
Name *
Email *
City, State (of school, work, or residence)  *
This helps us determine who your local and state legislators are!
What is your current stage of training? *
What institution are you affiliated with? (Eg: UVA School of Medicine, ____ Hospital System)
*
Optional: What sort of content would you like to see from our advocacy day?
Optional: How did you hear about VADTAD?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Sanjoli's Workspace. Report Abuse