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Participant Profile

Thank you for registering. Please take a few minutes to complete this profile. We request your information for two reasons:

  • To help us secure continued funding. Participant profile information is crucial for our reports to the Federal Bureau of Health Professions, a major funding agency for geriatric-related education programs.
  • To include you in our database for information regarding future programming.
Returning Users: Please note that you will not need to complete the participant profile again. However, we do need you to login and let us know which programs you have participated in. Thank you!

The information provided is kept strictly confidential.


TJU/H Campus Key users, please login using the following:
    Campus Key: 


All other users, please login using the following:
    WEB-ID (lastname + last four digits of your SS#, i.e. smith1234):