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* 1. Name and Degrees (example: Gary Hammer, MD, PhD)

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* 2. Institution

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* 3. Email Address

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* 4. Twitter Handle

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* 5. Facebook Handle

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* 6. Instagram Handle

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* 7. Brief Biography

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* 8. Please upload a photo of yourself. 

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* 9. What is your favorite Endocrine Society memory? How has Endocrine Society supported your professional journey?

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* 10. Why did you become an endocrinologist? Did a particular experience lead you here?

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* 11. What would you most like to tell yourself at 18?

Diversity, Equity, and Inclusion Member Narratives
Building on our 25-year diversity, equity, and inclusion (DEI) commitment, the Endocrine Society is especially concerned with creating space for the open conversations, hearing the voices least heard, and providing leadership where it is needed. There are a lot of factors that play into diversity—some things are visible on the outside, but others are just a part of the way people were born. We would like to celebrate the achievements of you or people who have inspired you and impacted your career. Responses are optional.

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* 12. Optional: How have the various aspects of your identity or background influenced your career?

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Why would you recommend Endocrine Society membership to a friend or colleague?
Participants will receive a special prize! Record on Gather Voices using the QR code or on your desktop by navigating here. 

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* 13. I consent to Endocrine Society using the contents of this submission in marketing materials to convey the member experience.

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