Request edit access
Join the Student Pre-Health Community
The Student Pre-Health Community (SPHC) is a group of undergraduate student leaders who work closely with University of Wisconsin Madison's Center Pre-Health Advising (CPHA) to:
  1. Connect health-related student orgs with one another
  2. Connect leaders with CPHA resources they can share with members
  3. Build a supportive community for pre-health students across campus
If you hold a leadership role within your pre-health Registered Student Organization, please fill out the following form to get connected with the Student Pre-Health Community.

 SPHC leaders will reach out to share more information about the community and invite you to our next gathering!

If you have any questions, please contact Pre-Health Advisor Yer Lor (yer.lor@wisc.edu)

With gratitude,
The SPHC Leadership Team
Sign in to Google to save your progress. Learn more
First and Last Name *
Email Address (wisc.edu) *
What pre-health related RSO are you representing?  *
What is your leadership role within the RSO are you representing?  *
Will you be your student org's primary contact/representative for SPHC? (or taking over for a former representative?) 
*
If you have any accommodation requests, please use this space to let us know how we can make SPHC more accessible. 
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of UW-Madison Google Workspace.

Does this form look suspicious? Report