Medical E-Shadowing Series Form

Medical E-Shadowing Series Form
Name*

First NameLast Name
Contact Number*
Please enter a valid phone number.
Email*
example@example.com
Specialty*
Please choose a week from the options below, and later you will be asked to specify whether you prefer Saturday or Sunday for that week.*
Please choose the day. SATURDAY or SUNDAY? ex.:November 4*
NOTE:

If you are willing to provide virtual shadowing to our Student Zone members, please pick an available date (the programs will take place biweekly at 7 pm EST on a Saturday or Sunday)There is no necessity to use a slideshow, if you prefer to use; here is an optional slide template: https://docs.google.com/presentation/d/1sdawfwaHRNGdGWCKyDXBDV3GiqBMxUjqN4W092edolo/edit?usp=sharing
Should be Empty: