BHPN Intake Survey

Thank you for your interest in joining the Black Healthcare Professionals Network (BHPN). Before we begin to enroll you we want to inform you about the personal information we will be collecting and how it will be used. 

In the next segment, you will be asked to complete and submit an online form. This form is for the purposes of creating your member profile. Member profile information will be kept private and will not be available to the general public. You will have the option of choosing which information you share with other members of the network. Should you not wish to disclose certain information please select "prefer not to disclose". 

The more complete your profile is the easier it will be for us to help identify ways to help provide you and others with resources for career advancement, business development, entrepreneurship, and mentorship.

Thank you,