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Ready to elevate the visibility of laboratory medicine? Share your expertise and help shape the future of diagnostic understanding. This initiative is in collaboration with the American Society for Clinical Laboratory Science (ASCLS).

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* 1. Full Name

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* 2. Laboratory Specialty/Discipline - to match expertise with content needs (select all that apply)

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* 3. Credentials/Certifications (select all that apply)

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* 4. Years of Experience - to understand expertise level

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* 5. Areas of Interest (select all that apply) - to align with specific engagement opportunities

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* 6. Professional Organization Affiliations (select all that apply)

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* 7. Estimated Question Volume Preference (select one)
How many questions would you feel comfortable answering per month?

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* 8. What is your favorite laboratory quote or saying? (keep quote under 12 words)

Examples
> 'Every test tells a story'
> 'In the lab, mistakes are learning opportunities'
> 'Trust the process, verify the results'

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* 9. What number of "questions answered" should we start the ticker with?

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* 10. Comfort level with technology

1 5
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i We adjusted the number you entered based on the slider’s scale.

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* 11. What state do you reside in?

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* 12. Email - for secure communication

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* 13. Phone Number - alternate contact method

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* 14. Opt in to our newsletter

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* 15. Which healthcare non-profit organization would you like your proceeds donated to?

Thank you for your interest in joining the Pro Hub. Our team carefully reviews each application and will contact you within 7 business days. For any questions, please contact at team@diversehealthhub.org.

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* 16. How did you hear about Diverse Health Hub?

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