UMD Global Dental Brigades January 2022 Interest Form
Hello! We are the Maryland chapter of Global Dental Brigades! In previous years we have gone as a group to other countries such as Honduras and Panama to provide a weeklong dental clinic in underserved and developing communities. We are currently in the process of planning another Dental Brigade for next winter break in January 2022 (we typically go from ~January 9th-16th).

If you are interested in participating in the trip, please fill out this form to receive information/updates on our brigade plans, such as dates, costs, applications, etc.

If you have any questions please email us at umdglobaldentalbrigades@gmail.com.

*This is not the official application to be a volunteer on the trip. Just an interest form!
First Name *
Last Name *
Phone Number (111-111-1111) *
UMD Email ("---@umd.edu") *
Preferred email for communication *
Year *
If you chose "Other" in the previous question, type your response here!
Major(s) *
Minor(s)
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