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We are collecting the following demographic data to comply with our HRSA-funder reporting requirements.
Enter none for outside of US.
Please select the gender you most identify with.
A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.
Are you a citizen, national, or a lawful permanent resident of the U.S. or the District of Columbia, the Commonwealths of Puerto Rico or the Marianas Islands, the Virgin Islands, Guam, the American Samoa, the Trust Territory of the Pacific Islands, the Republic of Palau, the Republic of the Marshall Islands and the Federated State of Micronesia?
If you answered yes to the previous question, do you come from an environment that has inhibited you from obtaining the knowledge, skill, and abilities required to enroll in and graduate from a health professions school, or from a program providing education or training in an allied health profession? Or do you come from a family with an annual income below a level based on low-income thresholds according to family size published by the U.S. Bureau of Census, adjusted annually for changes in the Consumer Price Index, and adjusted by the Secretary, HHS, for use in health professions and nursing programs?

Practice Setting

Indicate whether your practice setting is in a Medically Underserved Community (an umbrella term to describe a geographic location or population of individuals that is eligible for designation by a state and/or federal government as a health professions shortage area; medically underserved area and/or medically underserved population).