Community Partner Dues - Reduced Fee

Please select all that apply*

I self-identify as being from a marginalized group.

I am an early-career clinician (up to five years post-licensure).

I am a student enrolled in a degree-granting program.

If you are an Early Career Clinician (up to five years post-licensure), please enter your date of licensure

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If you are a student enrolled in a degree-granting program, please enter your expected graduation date

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