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Sandwich Isls.SpainSri LankaSt. HelenaSt. Pierre and MiquelonSudanSurinameSvalbard and Jan Mayen IslandsSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (Britain / UK)US Minor Outlying IslandsUruguayUzbekistanVanuatuVatican City State (Holy See)VenezuelaViet NamVirgin Islands (British)Virgin Islands (US)Wallis and Futuna IslandsWestern SaharaYemenYugoslaviaZaireZambiaZimbabwe Current Degree Select Current DegreeBABSDOMAMDMSPhDPsyD Pursuing/Obtained Degree Select DegreeBABSDOMAMDMSPhDPsyD Dissertation Title/Research Project/Research Interest (Required) Graduation Year Current Training Location Name of Training Location (Required) City State/Province/Region (Required) Zip/Postal Code Country (Required) United StatesAfghanistanArmeniaAzerbaijanBahrainBangladeshBhutanBruneiCanadaDarussalamCambodiaChinaGeorgiaIndiaIndonesiaIranIraqIsraelJapanJordanKazakhstanNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLebanonMacauMalaysiaMaldivesMongoliaMyanmarNepalOmanPalestinePakistanPhilippinesQatarSaudi ArabiaSingaporeSri LankaSyriaTaiwanTajikistanThailandTimor-LesteTurkeyTurkmenistanUnited Arab EmiratesUzbekistanViet NamYemen Current Trainee Status (Required) Select StatusUndergraduate StudentMaster's studentDoctoral StudentInternPost-doctoral Fellow Year 1Post-doctoral Fellow Year 2Other (indicate your status for the current academic year) Other Trainee Status Student Status (Required) Select StatusDomestic Student in the U.S.International Student in the U.S.Student studying outside the U.S.Other Other Student Status On a scale of 1 (Clinical-oriented) to 10 (Research-oriented), how would you rate the focus/emphasis of training in your graduate program? 10 (Research-oriented)987654321 (Clinical-oriented) Externship/Practicum Training Sites (Required) (e.g., Loma Linda VA HCS or Please type "N/A" if this does not apply) Internship Site (Required) (e.g., Loma Linda VA HCS or "N/A" if this does not apply) Post-doctoral Fellowship Site (Required) (e.g., Loma Linda VA HCS or "N/A" if this does not apply) Sub-specialty (Required) (if applicable; e.g., pediatrics, neuro-rehab, general neuro) Expected year of Completion Student ConfirmationBy clicking this box I am verifying that I am currently eligible for a student subscription on ANA. 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