Question Title

* 1. Your name and credentials

Question Title

* 2. How long have you been a member of PHCN DPG?

Question Title

* 3. Why did you join PHCN DPG?

Question Title

* 4. Tell us about your job. (If you are a student, tell us about your program)

Question Title

* 5. What do you find most interesting about your job? (If you are a student, tell us what you find most interesting about your program)

Question Title

* 6. Have you received an award, scholarship or other recognition?

Question Title

* 7. How did you get into this field?

Question Title

* 8. Where were you born and raised?

Question Title

* 9. Where did you go to college and/or complete your internship?

Question Title

* 10. Besides your profession, what are you hobbies?

Question Title

* 11. What are your favorite foods?

Question Title

* 12. Anything else you would like other members to know about yourself?

Question Title

* 13. Please submit a picture to include with your spotlight

PNG, JPG, JPEG file types only.
Choose File

Question Title

* 14. Please provide your LinkedIn url if you would like to have it included in your profile.  Members will be able to view your profile and send you a request to connect. This is optional.

Thank you for your submission for the PHCNPG Member Spotlight! Please send your photo to info@phcnpg.org!

T