Edit Profile

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be signed in to edit your profile

[jp_login_screen]

Profile Picture

[jp_profile_picture]

Change Password

[jp_profile_changepassword]

[jp_profile_start_form]

Personal Information

Prefix
[jp_profile_dropdowns name=”prefix” dd_override=”prefix”]

First Name*
[jp_profile_field fieldtype=”text” name=”fname” required=”true”]

Last Name*
[jp_profile_field fieldtype=”text” name=”lname” required=”true”]

Suffix
[jp_profile_dropdowns name=”suffix” dd_override=”suffix”]

Preferred/Display Name*
[jp_profile_field fieldtype=”text” name=”disp_name” required=”true”]

Gender*
[jp_profile_dropdowns name=”gender” dd_override=”gender” required=”true”]

Ethnicity*
[jp_profile_dropdowns name=”ethnicity” dd_override=”ethnicity” required=”true”]

Date of Birth*
[jp_profile_field name=”dob” fieldtype=”datepicker” required=”true”]

Designation*
[jp_join_dropdowns name=”desig” onchange=”buildDegreeInfo(this,’#degreeInfo’,’#degreeCont’)” dd_override=”desig” multiple=”true” required=”true”]

[jp_degreeinfo_field required=”true” date_label=”Graduation Date OR Anticipated Graduation” ]

Job Title*[jp_profile_field fieldtype=”text” name=”discipline”]Enter Job Title (GP, Nurse, Coach, Educator, etc.)If retired, put “Retired”.

Contact Information

Primary Address

Company/Institution Name*
[jp_profile_field fieldtype=”text” name=”addresses,0,company”]

Country*
[jp_profile_dropdowns name=”addresses,0,country” dd_override=”country” required=”true” onchange=”JPDropDown.countryChangeHandler($(‘#JoinForm’))”]

Street Address Line 1*
[jp_profile_field fieldtype=”text” name=”addresses,0,add1″ required=”true”]

Street Address Line 2
[jp_profile_field fieldtype=”text” name=”addresses,0,add2″]

City*
[jp_profile_field fieldtype=”text” name=”addresses,0,city” required=”true”]

State*
[jp_profile_dropdowns name=”addresses,0,us_state” style=”display:block;” dd_override=”state” required=”true”][jp_profile_field fieldtype=”text” name=”addresses,0,state” style=”display:none;”]

Zip*
[jp_profile_field fieldtype=”text” name=”addresses,0,zip” required=”true” required=”true”]

Phone*
[jp_profile_field fieldtype=”text” name=”addresses,0,phone” required=”true”]

E-Mail[jp_profile_field fieldtype=”text” name=”email” required=”true” class=”jpProfileEmailField” readonly=”readonly”]

Twitter Handle
[jp_profile_field name=”twitter” fieldtype=”text”]

[jp_profile_field submit=”UPDATE PROFILE” style=”display: inline-block;vertical-align: middle;margin: 0 0 1rem 0;font-family: inherit;padding: 0.85em 1em;-webkit-appearance: none;border: 1px solid transparent;border-radius: 0;transition: background-color 0.25s ease-out,color 0.25s ease-out;font-size: 0.9rem;line-height: 1;text-align: center;cursor: pointer;background-color: #262261;color: #fefefe;”]