Registration
Organization Information
Instructions
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Legal Name
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Contact Information
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Prefix
Dr.
M.
Miss
Mr.
Mrs.
Ms.
Mx.
Sr.
Sra.
Srta.
Professor
The Honorable
*
First Name
*
Last Name
Pronouns
He/Him/His
She/Her/Hers
They/Them/Theirs
Prefer not to disclose
Prefer to self-describe
Prefer to self-describe
*
Position Title
*
Address
Address 2
*
City
*
State / Province
*
Zip / Postal Code
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Country
--- Select One ---
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burma
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
England
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands Malvinas
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Ireland
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Reunion
Romania
Russia
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome And Principe
Saudi Arabia
Scotland
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Türkiye
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wales
Wallis and Futuna
Western Sahara
Western Samoa
Yemen
Zambia
Zimbabwe
*
Email
*
Business Phone
Biographical Information
Why are we asking for the following information?
The Cystic Fibrosis Foundation believes every person with CF deserves access to early diagnosis, high-quality care, and community support. To foster progress toward this goal, we need to understand the experiences and needs of individuals in the CF community, including those who are underrepresented in our programs. Responsible collection and use of demographic data will help ensure our work is informed by broad and diverse perspectives, allow us to improve and tailor our efforts, and ultimately enable us to track our progress in improving outcomes for people with CF. By
voluntarily
providing your information, you are helping us identify ways to best serve the CF community.
LinkedIn Profile
How would you best describe yourself (check all that apply)?
American Indian or Alaska Native
Asian
Black, African, or African American
Hispanic or Latino
Middle Eastern or North African
Native Hawaiian or Pacific Islander
White
Multi-Racial
Prefer not to disclose
Prefer to self-describe
Prefer to self-describe
What is your gender identity?
Man
Woman
Nonbinary
Prefer not to disclose
Prefer to self-describe
Prefer to self-describe
Subject Matter Expertise (check all that apply)
Administration: Contracting
Administration: Finance
Administration: Grants & Awards Management
Administration: Legal
Administration: Research Administration
Administration: Sponsored Programs
Administration: Technology Transfer
Clinical Care: Adult Cystic Fibrosis Care
Clinical Care: Cardiology
Clinical Care: CF-related Diabetes
Clinical Care: Critical Care
Clinical Care: Endocrinology
Clinical Care: Family Medicine
Clinical Care: Gastroenterology
Clinical Care: Hepatology
Clinical Care: Internal Medicine
Clinical Care: Mental & Behavioral Health
Clinical Care: Nursing & Patient Care
Clinical Care: Nutrition & Dietetics
Clinical Care: Oncology
Clinical Care: Otolaryngology
Clinical Care: Palliative Care
Clinical Care: Patient Advocacy
Clinical Care: Pediatrics
Clinical Care: Physiotherapy & Respiratory Therapy
Clinical Care: Pulmonology
Clinical Care: Reproductive Health
Clinical Care: Rheumatology
Clinical Care: Social Work
Clinical Care: Transplantation
Clinical Care: Urology
Industry: Biotech & Pharmaceutical Research
Industry: Drug Commercialization
Industry: Good Manufacturing Practices & Drug Production
Industry: Market Access & Health Economics
Industry: Medical Affairs & Scientific Communications
Industry: Regulatory Affairs
Industry: Venture Capital
Research: Biochemistry
Research: Bioinformatics & Computational Biology
Research: Biomarker Discovery & Validation
Research: Cell Biology
Research: Clinical Trial Design & Management
Research: Cognitive & Behavioral Research
Research: Epidemiology
Research: Gene Therapy
Research: Genetics & Genomics
Research: Health Equity
Research: Health Systems & Administration Research
Research: Immunology
Research: Infectious Disease Research
Research: Microbiology
Research: Molecular Biology
Research: Personalized Medicine
Research: Pharmacology & Drug Development
Research: RNA-based Therapies
Research: Sexual and Reproductive Research
Research: Small Molecule Drug Development
Research: Stem Cell Research
Research: Systems Biology