Event Registration: Office for Professional Mental Health
First Name
Last Name
Email
Phone Number
What is your affiliation?
Faculty/staff
Clinical resident or fellow
Graduate student
Medical student
Nursing student
Physician assistant student
Other
For which program(s) would you like to register?
Imposter Syndrome session: Aug. 20, noon to 1 p.m. in C3700
Do you have any dietary restrictions? If so, please describe.