Longitudinal Project Preceptor Sign-Up
The following form is collecting potential longitudinal projects for students in the Service & Community Health Certificate of Distinction at the University of Arizona College of Medicine Phoenix.

Projects must be related to Community Health, for instance related to underserved populations, social determinants of health, and health equity. Projects can be clinical, systems, or policy related.

Answers provided on this form will be entered in a database of projects accessible by students searching for projects. By providing your contact information, you consent to students contacting you by email to discuss potential projects.

Completing this form does not guarantee a student will be able to assist you.

For any questions please contact
Dr Leah Hillier, Director, Service Learning
University of Arizona College of Medicine Phoenix
lhillier@arizona.edu
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Supervisor name: *
Supervisor email address *
Supervisor Title *
Institution *

A brief description of the project

*
Hours expected to complete the project (estimated) *
Deadline to have project complete *
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