CYFAM Conference Mentorship Session Sign-up
Hi everyone! This form is to ask y'all what you would like to learn more about in your pamilyas/small mentorship group during conference. Please fill out this session sign up before October 4th, 2020 so that we can use your response to tailor which small group you will be placed in at the conference. If you fill it out after October 4th, we may not be able to place you in your first choice small group, but we will try our best. Thank you and excited to see you all there!

EVENT DETAILS
Date: October 10, 2020
Location: Virtual Conference via HopIn
Time: 2:20PM - 3:10PM PDT
Details: a 50-minute session with a 20-minute mentorship workshop hosted by the CYFAM Mentorship Committee and breakout into 30-minute of protected time with your small group.

About CYFAM:
The mission of the Council of Young Filipinx Americans in Medicine (CYFAM) is to provide a professional and social platform for the leadership development of young Filipinx American physicians and trainees, promote the educational pipeline, and partner with the Filipinx American community to eliminate health disparities. CYFAM’s vision is to embolden leaders to amplify the voice of our members, patients, and community.

Make sure to register for the conference! Please register at: https://www.conference.cyfam.org
Name *
First name and last name
Hometown(s) *
Email *
Year in Training *
Anticipated Graduation Year *
If applicable
School Name *
If graduated, please state what university/school
Topics you want to learn more about: *
If there is a speciality you want to hear more about or anything else, please explain in "other"
Required
Have you registered for the CYFAM Conference? *
Are you interested in learning more about CYFAM mentorship opportunities in the future? *
Submit
Never submit passwords through Google Forms.
This form was created inside of UC Davis. Report Abuse