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EMRA mentee sign up
Thank you for signing up to be paired with a mentor!
If you have any questions, please email Linley Dunn, the 2025 Mentorship Coordinator at
Linleydunn.emra@gmail.com
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* Indicates required question
Name (first + last)
*
Your answer
Best email address for mentors to contact you
*
Your answer
Phone number
Your answer
Are you currently an EMRA/ACEP member?
*
Yes
No
What is your EMRA/ACEP membership number (begins with "A")
*
Your answer
Gender identity (this question is not required)
Your answer
Preferred pronouns
Your answer
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