Progresando en Salud: Intake Form
Progresando en Salud is a program aimed to serve Hispanic and Latinx and other SDSU students interested in pursuing careers in health care. Our overarching goal is to increase Latinx and Hispanic representation in health care industry professions.  Students interested in being part of Progresando en Salud should include their contact information using this form.  If you have any questions pertaining to the program, feel free to email Emilio Ulloa, Program Coordinator at emilio.ulloa@sdsu.edu
Email *
First Name *
Last Name *
RedID *
SDSU Email *
Non-SDSU Email *
Preferred Email *
Major *
What is your current academic standing? *
If you selected "Other", please specify. (if it does not apply to you, enter N/A)
 *
Age: *
Gender: *
Ethnicity/Race (e.g. Asian, Black/African, Caucasian, Hispanic/Latinx, Native American, Pacific Islander) *
Enter your health industry profession of interest. (ex: x-ray technician, pharmacy technician, physician assistant) *
Where did you hear about Progresando en Salud? *
A copy of your responses will be emailed to .
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