LCCM @UCLA Alumni Questionnaire
Latinxs/Chicanxs for Community Medicine at UCLA is currently working to expand its Alumni network in order to maintain our Alumni involved. The purpose of this questionnaire is to help us reconnect with past alumnus pursuing their respective health careers, which has posed to be a challenge in the past.

What we hope to accomplish is to create a strong alumni database to have data on our organization and to give our students the opportunity to connect with our past alumni. This questionnaire will also allow LCCM to keep the alumni in the loop by allowing us to share invitations to quarterly events/socials.

Thank you again for your time, and if you have any questions or concerns email our LMSA Liaisons (Jennifer Cruz and Carlos Gomez-Guzman) at lccm.lmsaliaison@gmail.com or lccm.lmsaliaison1@gmail.com.

Thank you for your time! #LCCMPorVida
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Name *
Preferred Pronouns
Ethnicity
Hometown
When did you graduate from UCLA? *
What major did you graduate with? *
Did you complete a minor? If so, what minor?
Were you on LCCM (previously known CCM) Board? *
If you were a CCM Board Member please state your position (s) & year (s) on Board.
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