WM DPG - Diversity, Equity, Inclusion and Access 2024 stipend application

Diversity membership scholarship application

The Academy encourages inclusion, diversity, equity and access (IDEA) by striving to recognize, respect and include differences in ability, age, creed, culture, ethnicity, gender, gender identity, political affiliation, race, religion, sexual orientation, size, and socioeconomic characteristics in the nutrition and dietetics profession.

The Weight Management Dietetic Practice Group (WM DPG) of the Academy of Nutrition and Dietetics is networking with its current members and affiliates to promote the message of inclusion, diversity, equity, and access.

If you are a student or early career RDN (practicing 5 or fewer years) who identifies as a member of an unrepresented group and would like to apply for a stipend to join the Academy and the WM DPG, please respond to the following survey questions.

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* 1. Describe how you would like to benefit from this membership stipend and how will it reflect the inclusion, diversity, equity, and access program of the WM DPG. (Maximum 150 words)

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* 2. Please note your status:

I am a student

I am an early career RDN

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* 3. Please describe how you identify with an underrepresented group. (Maximum 150 words)

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* 4. Do you wish to be a assigned to a mentor in addition to receiving the membership stipend?

Yes

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* 5. If yes, do you agree to monthly meetings with your assigned mentor?

Yes

Please add any comments here.

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* 6. If you are a student, please provide the contact information of an advisor, professor, internship director, etc. that could confirm your student/intern status for 2024.

Name

Email Address

Phone Number

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* 7. If you are a student, please document your student email that corresponds to the education system you are affiliated with.

Name

University/Internship

Email Address

Phone Number

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* 8. Please add your information:

First name:

Last name:

Academy membership #:

Email: (Please submit the email that you regularly/consistently use/check)

Phone:

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* 9. Let us know your Academy membership status.

I am a current (2024-2025) Academy member.

I am not a current (2024-2025) Academy member.

I was a member in the past but haven't been for more than a year.

I've never been an Academy member.

I don't know my status - and can't find any info about my status.