2020-2021 HPA Membership Form
Welcome to HPA! ​As a member, you get access to our weekly General Meetings, during which we bring in a variety of healthcare professionals to speak. You also get access to our networking events and volunteer opportunities, as well as our newsletters, academic peer advising, and are eligible for our Partners in Wellness program. Each quarter's membership fee is $10.
Email address *
What is your full name? *
What year are you? *
What major are you? *
What is your phone number? *
What medical fields are of interest to you? *
How did you hear about us? *
Have you venmo'd us $10 for the quarterly membership fee? @ucsb_hpa *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy