Health & Tech Networking Night - Interest Form

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Health & Tech Networking Night - Interest Form - Tuesday, May 22

UCLA Alumni and the UC Institute for Prediction Technology (UCIPT) will be hosting a health & tech event for alumni and students on Tuesday, May 22. We are looking for Bruins who work in the intersection of healthcare and technology willing to share their expertise with fellow alumni and students.

Email *

First and Last Name *

UCLA Degree(s) and Graduation Year(s) *

Do you already have a UCLA ONE (www.uclaone.com) profile? *

Yes

I don't know what UCLA ONE is.

Please provide the link to your LinkedIn profile.

Help us get to know you!

The information you provide below will help students prepare for the networking night and help with event coordination and marketing.

What is your current organization and professional title? *

Please provide a brief bio (5-7 sentences). *

What is your interest at this health & tech networking event?

A copy of your responses will be emailed to the address you provided.

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