Establish a Healing Strokes chapter!

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If you are interested in founding a Healing Strokes chapter at your university, please fill out this form and join our expanding network of students, clinicians, stroke support groups, and hospitals dedicated to improving the lives of stroke survivors.

Please provide two names and email addresses so that we have two contacts to reach out to you!

Please read these guidelines for founding a chapter:
https://docs.google.com/document/d/1ay0-mgM0c71pjxIxyHN-LaGahHQl6o8u3qn2jUY-JZc/edit?usp=sharing

Primary Contact (Name & Email) *

Secondary Contact (Name & Email) *

Class Years *

Phone Number *

We strongly recommend identifying teaching hospitals that your university is affiliated with or is close by.

University (& affiliated hospital -- write none if not yet identified) *

Why do you want to establish a Healing Strokes chapter? (250 words max) *

Please briefly explain your academic background and/or relevant extracurricular experiences (250 words max) *

Please feel free to explain any goals or initiatives you have for your university chapter. (250 words max) *

We will be in touch with you shortly! Thank you for your interest.

Please email frankim@stanford.edu with questions in the meantime.

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