Join the NMPRA DEI Committee
Please fill out this form to join our list serve.
Also join our SLACK @ deicommitteeworld.slack.com
Email *
Name *
Email *
Phone
Medical School, Residency Program, or Academic affiliation
Please select the initiatives that you would like to help organize.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of National Med-Peds Resident Association. Report Abuse