2020-2021 HPA Membership Form

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Welcome to HPA! As a member, you get access to our weekly General Meetings, during which we bring in a variety of healthcare professionals to speak. You also get access to our networking events and volunteer opportunities, as well as our newsletters, academic peer advising, and are eligible for our Partners in Wellness program. Each quarter's membership fee is $10.

Email *

What is your full name? *

What year are you? *

Freshman

Sophomore

Junior

Senior

Other

What major are you? *

What is your phone number? *

What medical fields are of interest to you? *

How did you hear about us? *

Website

Instagram

Facebook

Word of Mouth

Listserv

Physical Flyers

Other

Have you venmo'd us $10 for the quarterly membership fee? @ucsb_hpa *

Yes

Will do after submitting this form

No— this option will result in you being added to our email list, but not give you access to any events or opportunities

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