Professional Interest Form

Professional Interest Form

An Intersection of Expertise and Purpose
What is your primary professional objective for registering with the Turner Syndrome Foundation*

Paid professional membership information*Share expertise as neededEstablish a specialized center of care for TSInfluence greater support for the causeHost an event about Turner syndromeSubmit a research project for collaborationJoin TS Woman in Medicine, exclusive group for women in medicineSeeking assistance for a patientSeeking assistance for a studentOther
Category which best aligns with you.*

Professional - Allied health / Clinical / Social ServicesProfessional - Education / Classroom / Education AdministrationProfessional - Legislative Advocacy / Policy / ActivismProfessional - Research / Collaboration / AcademiaGet Involved - Raise Awareness & Support
Your Full Name*

PrefixFirst NameMiddle NameLast Name
Personal Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Your cell number*
Your preferred E-mail*
example@example.com
Title or Position*
Degree & Certifications*
Professional Photo*

Max. 4 mb - min. 300 dpi
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Specialty & Area of Focus**
Maximum 400 characters!
Biography*
Maximum 400 characters!
Employer**
Work Address**

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Website*
Administrative Contact | Info web/phone/email to schedule an appointment*
RESEARCH Submit a Collaborative Project (title)
Maximum 400 characters
RESEARCH Project overview
Maximum 400 characters
Upload files

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Additional comments or questions
Enter the message as it's shown*
I have read and understand the Turner Syndrome Foundation’s POLICIES, including the CODE OF CONDUCT, TALENT MANAGEMENT, VOLUNTEER HANDBOOK and NAME AND LIKENESS AGREEMENTS, and agree to comply with the terms therein, as well as applicable laws that impact the Foundation. Agreements may be located on the POLICIES webpage at https://turnersyndromefoundation.org/policies/. Either party, the Foundation or applicant, can terminate the relationship at will.

A PROFESSIONAL MEMBERSHIP SUBSCRIPTION is available. Professionals providing Turner Syndrome resources or services are even greater champions when they join with other professionals as annual subscribers. Upon submitting this agreement, you will see the PROFESSIONAL MEMBERSHIP SUBSCRIPTION option. You are strongly encouraged to become an annual or monthly supporter. www.TurnerSyndromeFoundation.org

This mission is stronger because you care. Thank YOU!
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