Loyola Member Interest Form
Hello! Thanks for showing an interest in our collegiate chapter. Aspiring Women In Health at Loyola University Chicago will be coming to campus Fall 2022! Fill this out and let us know how you want to get involved!

**Must be an incoming or current student of Loyola University Chicago*
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Name *
School Email Address *
Phone Number *
What is the best way to reach you? *
What year are you? *
What is your major? *
What are you interested in? *
We ask that Collegiate Members maintain a GPA of at least a 2.0. What is your GPA? *
Why do you want to be apart of Aspiring Women in Health? *
What qualities can you bring to Aspiring Women in Health?
List any experiences/partnerships that you may have with community service or clinical opportunities
How can we cater best to you through this organization? *
How did you hear about us? *
Follow our Instagram awih_atluc for upcoming events and updates! *
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