Latinas in Medicine and Research Event Registration Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

The GW Latino Medical Student Association is hosting a Latinas in Medicine and Research event on March 19th at 12:00-1:00 PM in Room 201A in Ross Hall in celebration of Women’s History Month, and we would love to see you there!

This event is intended to provide Latina and underrepresented students with the opportunity to learn from professionals who have already established successful careers in the healthcare field, whether that be in clinical, education, and/or research roles. There will be a facilitated panel discussion followed by an open discussion with attendees and our guests.

The event is open to all GW undergraduate and graduate students. Snacks and beverages will be provided.

Full Name *

Email *

GWID # *

Year and program *

Would you like to be on our email list for future LMSA events? *

Yes

Student organization affiliation (if applicable)

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of The George Washington University.

Does this form look suspicious? Report

Forms