Harvard Medical School OutList 2019-2020
Thank you for joining the public list of LGBTQ faculty, residents, postdocs, trainees and staff affiliated with Harvard Medical School.

We start from scratch every year -- so please fill this out even if you have done so in the past.

**Please note: a version of this list will be publicly available (with no contact info) on Harvard websites.**

Questions? Contact Jessica Halem, LGBTQ Outreach and Engagement Director: jessica_halem@hms.harvard.edu.
Email address *
First name *
Last name *
Gender Identity (check all that apply) *
Required
Are you LGBTQ or an Ally? (check all that apply) *
Required
What is your Race/Ethnicity? (check all that apply)
I am a... *
Required
Harvard Job Title *
Primary Specialty
Degree (check all that apply) *
Required
HMS Primary Affiliation *
Are you engaged in LGBTQ Clinical Care or Research?
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A copy of your responses will be emailed to the address you provided.
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