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Flying Samaritans at UCLA New Member Form Spring 2024
Please fill out this form to complete the first step of Flying Sams Membership.
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Email
*
Your email
Full Name
*
Your answer
UID
*
Your answer
Phone Number
*
Your answer
Year
*
1
2
3
4
5+
Why do you want to join Flying Samaritans at UCLA?
*
Your answer
What committees or internships are you interested in?
*
Health Education
Pharmacy
Public Health
Dental
Publicity
None
Other:
Required
How did you hear about us?
*
Enormous Activities Fair
Facebook
Website
Friend
Other:
Required
Questions, comments, concerns?
Your answer
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