Health Sciences Equity and Diversity Lunch and Learns

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Thank you for your interest in attending one of the Spring 2020 Health Sciences Lunch and Learn sessions. Please complete the following form to help us plan for lunch.

First name: *

Last name: *

Email address: *

Would you like to be included in the lunch count for "Self-care in Healthcare" on Wednesday, 1/29/2020 (12-1pm) *

Yes

Would you like to be included in the lunch count for "Impact of Race-based Stress on Health" on Wednesday, 2/19/2020 (12-1 pm)? *

Yes

Would you like to be included in the lunch count for "Faculty/staff Role in Supporting Students with Physical and Mental Health Disabilities" on Thursday, 4/9/2020 (12-1 pm)? *

Yes

School you are a member of: *

School of Nursing

School of Medicine and Public Health

School of Pharmacy

School of Veterinary Medicine

Other:

Role that best describes you: *

Student

Staff

Faculty

Community member

Other:

How would you describe yourself? (optional)

White

Hispanic or Latinx

Black or African American

American Indian or Alaska Native

Asian

Native Hawaiian or other Pacific Islander

Multiracial

Other:

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