Queer Straight Alliance Host Request Form

Congratulations on getting an interview offer from UNC School of Medicine! We are excited you will be coming to visit our campus. If you would like to be hosted by a member of QSA, whether it is meeting up for a meal or staying overnight, please fill out this form! We will get back to you via email. If you have any questions, please contact us at qsa@med.unc.edu. Thanks!
* Required

Never submit passwords through Google Forms.