Patient Education Pilot Program Interest
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Name (First and Last)
Undergraduate year
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Are you interested in volunteering as a patient educator as a part of our Patient Education Pilot Program? 
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Are you available for clinic on Thursday evenings (1-2 times/ month) from 5:00 -7:00 pm? 
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Why are you interested in volunteering as a Patient Educator (2-3 sentences)?
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