Please answer the questions below to help us determine the information we need to complete your account registration. You will then be asked to download a checklist and a zip file of forms specific to your employment.

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* All answers required.

Terms of Service & Disclaimer
	By continuing with this registration you signify that you have read and agree to the Atlanta Research & Education Foundation Terms of Service and Disclaimer.
Primary Salary
1. Who is (or will be) paying your salary to do research? *	Atlanta VA Medical Center Centers for Disease Control Contractor Emory University Foundation for Atlanta Veterans Education and Research Other Organization Student (no salary)
1.A. What school are you currently attending?	Emory University Georgia Institute of Technology Georgia State University Morehouse School of Medicine
Location
2. What is the primary location where you will be conducting procedures pertaining to research?	VA Medical Center Emory University CDC Grady Crawford Long Morehouse Other
Appointment Questions
3. Are you house staff (resident, medical fellow)? *	Yes No
4. Will you be involved in projects that involve contact with human subjects or human data? *	Yes No
5. (If you answered yes to Question 4) Will you have access to Protected Health Information(PHI) or Individually Identifiable Information (III) (eg. SSN, DOB, visit dates) as a result of your participation in research? *	Yes No
6. Will you be working in a basic science research laboratory? *	Yes No
7. Will you be working with animals? *	Yes No
8. What is the length of your appointment? *	Less than 6 Months 6 Months or longer
9. Do you currently have a license to practice medicine or the ability to obtain a license, or are you a foreign medical graduate that has completed a medical residency in the United States? *	No Yes