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About DiD
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Education +
Educational Initiatives
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First name/ Nombre
Last name/ Apellido
Email/ Correo electrónico
Ethnicity
Hispanic or Latino / Hispano o Latino
Not Hispanic or Latino / No Hispano o Latino
Race
American Indian or Alaska Native / Indio americano o nativo de Alaska
Asian / Asiático
Black or African American / Negro o afroamericano
Native Hawaiian or Other Pacific Islander / Nativo de Hawái u otra isla del Pacífico
White / Blanco
Two or more races / Dos o más razas
Prefer not to answer / Prefiere no responder
Relation to Diabetes
Person living with Diabetes/ Persona que vive con diabetes
Family Member or Friend of Someone with Diabetes/ Familiar o amigo(a) de alguien con diabetes
Healthcare Professional / Educator/ Profesional de la salud / Educador(a)
Advocate / Community Leader/ Defensor(a) / Líder comunitario(a)
Researcher or Student/ Investigador(a) o estudiante
What do you hope to get from the summit. (Community, education, resources...) / ¿Qué espera obtener del evento? (Comunidad, educación, recursos...)
Do you consent to Diversity in Diabetes to taking your photo and using your photo during promotional materials for the organization / ¿Da su consentimiento a Diversity in Diabetes para tomarle fotografías y usar su imagen en materiales promocionales de la
Do you want to get connected more with Diversity in Diabetes / ¿Quiere involucrarse más con Diversity in Diabetes?
Would you like to make a donation? / ¿Le gustaría hacer una donación?
$5
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