Buckeyes without Borders Membership Registration

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Thank you for your interest in Buckeyes without Borders!

Please fill out the form below and submit the $10 membership fee via Venmo to @BWB-OSU. Some of the perks of membership include being notified about upcoming events and meetings, eligibility to apply for leadership positions, and volunteer opportunities.

Please reach out to Lauren Kobasuk.2 or Shannon Peck.291 for any questions!

Name *

Email *

Phone *

Your Program *

Pharmacy

Medicine

Dentistry

Occupational Therapy

Physical Therapy

CNP/PA

Other:

Program Year *

First Year

Second Year

Third Year

Fourth Year

Other:

Membership Fee *

I will venmo $10 to @BWB-OSU with this application

Other:

Are you interested in attending the 2022 Honduras medical brigade during spring break? *

Yes

Maybe

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