REGISTRATION
for
4th Annual Salud Student Leadership Conference

Name:*required

E-mail:*required

Institution name:*required

Class standing (if undergraduate):
Freshman Sophomore Junior Senior

If not undergraduate:
Graduate student
School of medicine
School of public health
School of nursing
School of law
social work
other:

Which workshop do you wish to participate? Please choose exactly two.

• Medical Education: Cultural Competency Curriculum Project
• Legal Issues & Rights of Immigrants
• Practice of Cross-Cultural Medicine

How did you hear about our conference?
flyer/poster school announcement newsletter newspaper web word of mouth
other:

Need parking?
YesNo

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