Question Title

* 1. Yes, I am available to attend the discussion about chapter-based D&I activities for individuals underrepresented in medicine:

Sunday, March 17
10:00 - 11:30 a.m. CT
New Orleans Hilton Riverside
2 Poydras Avenue

Question Title

* 2. Name and contact information:

Question Title

* 3. I am a:

Question Title

* 4. Additional comments about your chapter's activities or any specific issues you would like to discuss.

T