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Registering for this site is easy. Just fill in the fields below, and we’ll get a new account set up for you in no time.

You can change the level of visibility of any piece of information in your profile once you are a registered user.  Once you have access to the site, please go to your profile where you will be able to customize what others are able to see.

Account Details

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Profile Details

Confirm Email Address (required)

This is not visible to other members unless you change the visibility in your profile after activating your registration. Please note that the email system at Emory University blocks our blast emails.

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First Name (required)

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Last Name (required)

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Pronouns

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City (required)

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State, Province, or Territory (required)

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How did you hear about MGPN? (required)

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What are your preferred modes of communication?

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Personal Background

Race & Ethnicity (required)

Please select all that apply.

Race & Ethnicity - Other
Gender Identity

This question is not mandatory. If you choose to answer, you may select all that apply.

Gender Identity - Other
Do you identify as a member of the LGBTQ+ community?

This question is not mandatory.

Do you identify as a member of the disability community?

This question is not mandatory.

Disability - Details

This question is not mandatory. If you choose to answer, you may list all disabilities that apply to you.

Religious Affiliation

This question is not mandatory. If you choose to answer, you many select all that apply.

Other Religious Affiliation
Languages spoken other than English
Other non-English language

If you speak any non-English language that is not listed above, please enter it here.

Language(s) willing to counsel in

Select all languages you are willing to counsel in

Language(s) willing to counsel in - Other

If you are willing to counsel in another non-English language that is not listed above, please enter it here.

Generation of Immigration

This question is not mandatory. If you are of a different generation of immigration on different sides of your family, you may select more than one option.

Self-defined Identity

How would you describe your identity in your own words?

Other professional or personal interests
Social Media

If you would like to connect to other members over social media, please enter your contact info below. MGPN is available on Twitter @minoritygenetic, IG @minoritygenetics, and FB @minoritygenetic

Are you available for contact?
Are you available to give lectures?
Are you available for potential clinical rotation supervision?

Professional Background or Educational Status

Profession or Student Status (required)
Profession or Student - other
Are you the among the first in your family to attend/plan to attend college?

This question is not mandatory.

Are you among the first in your family to attend/plan to attend graduate or professional school?

This question is not mandatory.

Genetic Counselors and GC students, which Genetic Counseling training program did you attend or are you attending?
MD Geneticists and current fellows, in what institution is or was your genetics fellowship located?
Year of genetics training completion (required)

Completion of genetic counseling program, genetics fellowship, or nursing school. If you are still in training, please check your anticipated year of completion. If you are an undergraduate or high school student, please check N/A at this time.

Specialty (required)

Please select all that apply.

Specialty - Other
Categories of Patients Served (required)

Please select all that apply.

If you plan to apply to Genetic Counseling graduate programs, what year do you hope to start school?

If you are not sure, you may select more than one year.

Medical residents and medical students, are you planning to go on to a genetics fellowship?

Mentoring Availability and Preferences

Are you currently available to serve as a mentor?
If yes, who are you interested in mentoring?
Are you seeking a mentor?
What attributes would you hope for in a mentor or mentee? (Ex: same/similar cultural background, geographical area, specialty)

As with all fields in this form, you can customize the visibility of this information. The default setting is that it is only visible to the member entering information, but site administrators can see your responses for the purpose of matching mentoring pairs.

Verify that you are a human.

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FUNDING
This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number 6 UH7MC30774-05-02, for $765,000. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.6 UH7MC30774-05-02

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