Michigan Public Health Chicago Reception Registration
Tuesday, May 1 | 5:30-7:00 pm | The Mid-America Club | 200 East Randolph Drive, Chicago, IL
I plan to attend the event on Tuesday, May 1 at The Mid-America Club
Please include your full last name. If your last name has changed, please write "current name (previous name)." Example: Smith (Olsen)
First name and Last name as you would like them to appear on name tag
Please feel free to include nicknames or abbreviations
Degrees from SPH only. Example: M.P.H. '86 , Ph.D. '90
Environmental Health Sciences
Health Behavior and Health Education
Health Management and Policy
Including Area Code
Please Do Not Post My Name in the List of Registrants
Do Not Post My Name
See who is coming; view the registration list here:
Once you have registered, your name and graduation year will be visible on the next business day. Thank you!
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