Trainee workshop registration

Name*
Title First Last
Email*
University or organizational affiliation (if applicable)
Where do you live?*
What is your role related to skin conditions (select all that apply)?*
- Physician
- Nurse
- Researcher
- Patient
- Caregiver
- Other
Please specify*
Select the workshop you are registering for*
- Select All
- Industry career workshop 11 Nov 2021
- Patient engagement workshop 12 Nov 2021
- Academic career workshop 13 Nov 2021
I like to attend workshop*
- In person
- Virtually