Join the INS Cultural Special Interest Group (SIG)! 
Thank you for your interest in becoming a member of INS's Cultural SIG! The Cultural SIG has the primary goals of: (1) accelerating and improving the quality of cultural neuropsychological research; and (2) providing opportunities for continued education to increase cultural competencies/humility for students, trainees, clinicians, and researchers. The survey will take approximately 5-10 minutes to complete.
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Are you a new member? *
First name. *
Last name. *
Email. *
Confirm email. *
Primary country of practice. *
 State/Province/Region. *
Preferred pronouns. *
Required
What is your ethnicity? *
What is your country of origin? *
Gender identity. *
Required
Highest level of education *
Required
Please specify the university or college you where completed your most recent higher education. *
Current primary area(s) of practice. (Check all that apply) *
Required
What population(s) or ethnicity(ies) do you mostly work with? (Check all that apply) *
Required
Primary work setting(s). (Check all that apply) *
Required
Specialty(ies). (Check all that apply) *
Required
Board certification. (Choose one) *
Required
What area/specialty do you plan on becoming board certified in (e.g., neuropsychology, pediatric neuropsychology, forensics, etc.)?
Specialty area of cultural training
If you have received specialty training in cultural neuropsychology/psychology or expertise in specialty areas related to cultural neuropsychology/psychology, please describe here and answer questions below.
*
What is your primary language? *
What other languages do you speak with proficiency?  *
What language(s) are you competent in for professional neuropsychology purposes? *
Disability(ies) - Specify areas and expertise. 
Gender Diversity - Specify areas and expertise. 
Literacy - Specify areas and expertise. 
Immigration - Specify areas and expertise. 
Culturally Sensitive Test/Measurement Development or Adaptation - Specify areas and expertise. 
Other- Specify areas and expertise. 
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