Health Equity 101: An Intro to Health Disparities Through Art and Conversation: Art Submission Interest Form

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We seek to cultivate conversation about disparities in healthcare between individuals of diverse backgrounds and experiences.

We will be using art to encourage self expression and reflection upon interpretations and experiences surrounding health equity. An art gallery will also be displayed in the room throughout the duration of the program. This is an opportunity for the UCLA community to submit various mediums of art to exhibit their interpretation of healthcare in underrepresented populations. Please fill out the form below if you are interested in submitting your artwork. If you would like to pick up a free canvas to decorate, please indicate so below.

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About the Event:
We seek to cultivate conversation about disparities in healthcare between individuals of diverse backgrounds and experiences with our event titled Health Equity 101: An Intro to Health Disparities Through Art and Conversation on Wednesday, May 22nd 2-5pm at Kerckhoff Grand Salon.

From 2-4pm, students may stop by to decorate mugs, view our Art Gallery, and for refreshments.

Our panelists event will be from 4-5pm. We will begin with a short 30-minute panel with esteemed panelists discussing the importance of recognizing disparities, your research/knowledge surrounding underserved populations in healthcare, and barriers to education and resources that impact healthcare. After the panel, we will split into smaller groups of students who will be free to ask panelists whatever questions they like. At this time, there is an opportunity for all attendees to decorate mugs and express ideas learned from the prior half of the event. Cookies and refreshments will be provided!

This event is hosted by the Life Sciences Student Association (LSSA), a new organization, supported by the Life Sciences Core, that aims to provide Life Sciences students with resources, opportunities, and a voice in their education.

To RSVP for the event, please go here: https://forms.gle/Cj8EAx78rzxPgXbV6

Name *

Last Name, First Name

Email Address *

Would you like a canvas or will you submit your own medium? *

Canvas pick-up day will be May 14th 2pm-5pm; if this time does not work for you, leave a comment at the end of this form

I would like a canvas

I will be submitting my own medium

Medium of Art *

I.e. Provided canvas, sculpture, photograph, etc..

Title of artwork *

What does this artwork represent/mean to you? *

I.e. What does healthcare inequity mean to you?

Will you attend the event? It will be on Wednesday, May 22nd 2pm-5pm in Kerckhoff Grand Salon. *

Please check the events/times that you can attend.

2-4pm Art Show

5-6pm Panel Event

None

Required

If you have any questions, comments, or concerns please list them here.

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