COVID-19 Medical Student Labor Initiative
Please fill out this form to indicate your interest in joining COVID-19 prevention efforts at UMMC. This will potentially be eligibile for elective credit.

Please: if you are ill, have recently traveled outside of UMB guidelines, or have otherwise deemed yourself to be inappropriate to participate in either patient care OR to have contact with members of the healthcare workforce, please refrain from participating.
What is your full name?
Your answer
What is your School of Medicine email address?
Your answer
What is your current year in school? *
Have you been ill or traveled outside of Maryland in the past 14 days?
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