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Health Sciences Equity and Diversity Lunch and Learns
Thank you for your interest in attending one of the Fall 2019 Health Sciences Lunch and Learn sessions. Please complete the following form to help us plan for lunch.
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First name:
*
Your answer
Last name:
*
Your answer
Email address:
*
Your answer
Would you like to be included in the lunch count for Equity in Correctional Healthcare on 9/19/19 (12-1pm)
*
Yes
No
Would you like to be included in the lunch count for Addressing Bias in Healthcare on 10/1/2019 (12-1 pm)?
Yes
No
Clear selection
Would you like to be included in the lunch count for the Go Big Read: Let's Eat! Food and Health on 11/1/2019 (12-1 pm)?
Yes
No
Clear selection
Would you like to be included in the lunch count for the Rural Health Equity on 11/19/2019 (12-1 pm)?
Yes
No
Clear selection
School you are a member of:
*
School of Nursing
School of Medicine and Public Health
School of Pharmacy
School of Veterinary Medicine
Other:
Role that best describes you:
*
Student
Staff
Faculty
Community member
Other:
How would you describe yourself? (optional)
White
Hispanic or Latinx
Black or African American
American Indian or Alaska Native
Asian
Native Hawaiian or other Pacific Islander
Multiracial
Other:
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