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* 1. As the aim of this piece is to support and raise the profile of LGBTQ+ people working in pharmacology, we require that those expressing interest identify as LGBTQ+.

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* 2. First name

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* 3. Last name

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* 4. Email address

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* 5. Twitter handle

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* 6. I confirm I am happy for my name to be used in the article and for my name  (and Twitter handle, if provided) to be used in promotion of the article and themed issue

The next three questions are to help us to ensure we are representing our community with a diverse range of contributors.

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* 7. Please tell us a bit about yourself, the story you'd like to share and how your LGBTQ+ identity is part of this. Feel free to describe your sexual orientation and gender identity in the way that works best for you. We understand that identities and experiences are not one dimensional so you may wish to voluntarily share if you are a member of any other minoritised or marginalised groups.

Please note: The information you share in this form will be the starting point for a conversation and not the final text we would use in the article. 

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* 8. How would you describe your primary professional setting?

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* 9. How would you describe your career stage (e.g. student, early career, mid career)?

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