BPHC Membership Application 2017-2018
Email address *
Name *
Your answer
Standing
Phone Number *
Your answer
Major (and Minor) *
Your answer
What does Public Health mean to you?
Your answer
Why are you interested in joining Bruins Public Health?
Your answer
Please mark your availability to volunteer at our elementary school site visits: *
Required
All club members are asked be on a club committee. Please rank your interest in the following committees (1-first choice, 5-last choice) *
1
2
3
4
5
Newsletter Committee (oversees production of the quarterly health newsletter sent to families at Norra Sterry Elementary)
Assembly Committee (oversees organization of the health assembly at Norra Sterry Elementary in the Spring)
Outreach Committee (oversees recruitment of guest speakers and organizing BPHC involvement in off-campus events)
Blog Committee (oversees the BPHC blog on the website and keeps posts current)
Fundraising Committee (oversees organization and planning of quarterly club fundraisers on campus
Are you interested in our mentorship program? Mentors are exec board members and older club members who can give you advice about classes, your major, UCLA, and life in general. *
If you answered yes to being interested in mentorship, what should we know about you to help you find the best mentor/mentee?
Your answer
How did you hear about Bruins Public Health? *
Required
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