2023-2024 UM-ULH Member Registration Form
Complete this form to register as a 2023-2024 UM-ULH Member!

Here's the process to becoming a member: 
1) Fill out this form! 
2) E-transfer $5 to executive@umulh.com with (Your Name-Membership) in the message! 

As a UM-ULH member, you will have exclusive access to a Telegram group chat, email list, discounted event entries, food giveaways, and post-event feedback forms! You'll look forwards to exclusive discussions with our speakers and early access to our events and other university opportunities. If you meet the required hours, you will also earn CCR.

You are automatically entered into our 2023-2024 UM-ULH Members' Contest! The more you ENGAGE, the more points you GAIN towards a grand prize! We'll keep track of your points for you. Grand prizes include free admission to M.U.H.S., free lunch with a UM-ULH event speaker, and a basket of healthcare prizes.
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First Name *
Last Name *
Preferred Name
Pronouns
Student Number *
Email Address *
This will be the email address we use to contact you. It does not have to be a U of M email address.
University of Manitoba Email Address
This will be used for CCR recognition (if you have enough hours to qualify).
Faculty  *
Program of Study *
Example: biochemistry, psychology, etc.
Healthcare Career Goal *
Are you a new or returning UM-ULH member? *
How did you hear about us? *
If a friend told you about us, please write their first and last name here.
Which member benefit(s) are you most excited for? *
Obligatoriu
What would you like to see this year? 
You can include specific event ideas or general feedback.
Thank you for filling out our Member Registration Form!
Please e-transfer $5 to executive@umulh.com to confirm your membership! 

Please email executive@umulh.com with any questions or concerns. Follow our Instagram (@um_ulh) for updates. We look forward to meeting you! :)
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