Community Outreach Program Application
Past year's COP projects have included creating nutritional flyers to distribute amongst elementary schoolers, and developing an app with health-related information for Chicago's homeless.
Email address *
First Name *
Your answer
Last Name *
Your answer
Email ( preferred) *
Your answer
Year *
Why do you want to join COP? *
Your answer
What new ideas for a year-long community health project do you have for this year? *
Your answer
Never submit passwords through Google Forms.
This form was created inside of University of Illinois at Chicago. Report Abuse - Terms of Service