Ride for World Health Alumni Directory
Whether you rode for 1 week or completed multiple cross country trips, we want to have you as part of our alumni network! Please fill out this form and help us stay connected with the now 14 year legacy of Ride for World Health!
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Last Name during R4WH
Only if different from above
Email
Preferred emails are non-institutional (so that we can contact you if you switch jobs/graduate)
Phone Number
Where do you live?
Your R4WH Experience
What year did you participate in R4WH?
How did you participate?
Clear selection
If you held any leadership positions, which ones?
What was the most memorable thing about R4WH?
Questions for R4WH alum in Medicine
What medical school did you attend?
Clear selection
What year did you graduate from medical school?
Specialty/Field
Residency Program & Graduation Year
Fellowship Program & Graduation Year
Where do you work now?
Questions for R4WH Alum NOT in Medicine
How did you hear about R4WH?
What field are you in?
Occupation or whatever you'd like to tell us
Education/Degrees and Years
Current involvement in R4WH
Alumni of R4WH play a critical role in keeping the ride alive and well into the future!
Are you willing to help recruit riders from your community?
Could include anything from sending an email to a list of medical students to doing a presentation (we'd send the materials) locally.
Clear selection
If you live on/near the R4WH route, are you willing to host riders?
Clear selection
Do you have suggestions or ideas for who R4WH should support in the future?
Any other ways you would like to be involved?
The opportunities are endless, but include mentoring leaders, joining for part of the ride (let us know what year you're thinking, if you have an idea!), serving on the R4WH board, fundraising, etc.
Optional: Send us your picture!
The R4WH website has lost many images of ride alumni. If yours is not up to date, feel free to send us a photo to use on the website.
To see if your photo is listed, check out https://r4wh.org/past-rides/
Clear selection
Anything else?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Ride for World Health. Report Abuse