Name *

First Name

Last Name

I am interested in *

choose all that apply

Being a virtual mentor for a dietetic student/intern/young professional

Helping an RD2BE with their DICAS Application

Being a preceptor (virtual or in-person)

Writing a post for the Diversify Dietetics blog

Participating as an expert on a topic in a Diversify Dietetics podcast/webinar/IG or FB live

Being featured in the RDN Spotlight Series

Hosting a Diversify Dietetics meet-up in my city

All of the above (at some point- we won't ask you to do it all at once!)

I identify as *

choose all that apply

American Indian/Native American

Asian Indian

Asian

African-American/Black

Native Hawaiian/Pacific Islander

Latinx/Hispanic

White

I'd like to receive the Diversify Dietetics monthly newsletter! *

Yes

No