DGSOM First-Gen
DGSOM First-Gen Faculty and Trainees
Name
Your answer
Department name
Your answer
Specialty
Your answer
Affiliation
Preferred contact information (please list)
Your answer
Would you be willing to be identified as a First-Gen faculty or trainee?
Would you like to be included on a First-Gen email list about UCLA First-Gen events/updates?
Are you interested in First-Gen faculty and trainee career development initiatives?
Are you interested in being connected to First-Gen DGSOM students (socials, informal meetings)?
Are you interested in being a mentor to 1st Gen Faculty, Trainees and/or students?
Are you interested in being mentored?
Any other comments/ideas?
Your answer
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