I am a Veterinarian *
Veterinary Degree/Institution/Year *
Current workplace and position title *
First Name *
Last Name *
Email *
Personal Pronouns
Race/ Ethnicity (Select all that apply)
American Indian
Alaskan Native
Asian
Black or African American
Hispanic or Latinx
Native Hawaiian
Other Pacific Islander
White
Are you a member/employee? Select all that apply.
BlackDVM Network
Compassion-First Pet Hospitals
Elanco Animal Health
Multicultural Veterinary Medical Association
National Association for Black Veterinarians
Veterinarians for Puerto Rico
New York State Veterinary Medical Society (NYSVMS)
Please describe your active and ongoing commitment to diversity, equity, and inclusion. *
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