Riverside Free Clinic Interest Form
The following is required to apply for RFC 2018-2019 application cycle:

- Must currently be an undergraduate at UC Riverside during the 2018-2019 application cycle.
- Demonstrate a strong desire to help and show understanding of the underserved community through activities including
but not limited to: clinical experience, community service, employment, personal experiences etc.
- Be able to serve at least 4 out of 5 clinic per quarter (Clinics are every other Wednesday from 4:45PM-10:00PM)

First & Last Name *
Your answer
R'mail *
Your answer
Current Year at UC Riverside *
Do you want to receive any emails regarding info sessions, application periods, deadlines etc. for the 2018-2019 application cycle? *
How did you hear about us?
Your answer
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