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Skinfix Derm Crew 2.0
Thank you for your interest in the Skinfix Derm Crew. Please fill out the application below to apply. Please review Tiers 1-3 and the requirements for each before applying. You can view the Tiers and
more details here
.
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First and Last Name
*
Your answer
Email
*
Your answer
Are you currently a member of the Skinfix Derm Crew?
*
YES
NO
Please select from the options below:
*
I'm a Derm Resident
I'm a recent Derm Graduate (1-5 years out)
Other:
Where are you currently working or going to school?
*
Your answer
Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip / Postal Code
*
Your answer
Country
*
Your answer
Select which tier you'd like to apply for below. Please make sure read the
tier requirements before applying here
.
*
Tier 1 : TOTAL SKIN NERD
Tier 2 : SUPREME SKIN NERD
Tier 3 : ULTIMATE SKIN NERD
Required
TikTok Handle (Tiers 2 & 3 only)
Your answer
Instagram Handle (Tiers 2 & 3 only)
Your answer
I'm a current Derm Crew Member and am opting out. Please let us know the reason why.
Your answer
Comments/Questions?
Your answer
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