Housestaff Emerging Academy of Leaders (HEAL) for LGBT & Allies - Opt-in Survey

Survey to Receive Notifications about the HEAL for LGBT & Allies Program

The Housestaff Emerging Academy of Leaders (HEAL) for LGBT & Allies program is an affinity group aimed specifically for trainees and faculty of the LGBTQ community and their supporters.

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* 1. Would you like to be included in HEAL for LGBT & Allies notifications?

Yes

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* 2. Please list any suggestions or topics of interest you'd like to learn more about from the HEAL for LGBT & Allies program.

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* 3. Please provide the following:

First Name:

Last Name:

Email: