Tri-State AHEC Scholars February 22 Event Follow-Up: Team Field Experience Plans

You can view responses from other Scholars teams at https://docs.google.com/spreadsheets/d/1D2XedzTQYefarupC0h4eszdFbmSdXWXZ8d6GD8dlQ5s/edit?usp=sharing.  

AHEC staff from EI-AHEC, North Central AHEC, and UC AHEC are monitoring this form and will reach out to your group as appropriate when you complete it.

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Email *
Name of Scholar completing form *
Names of other Scholars you will team with on this project (first name / last initial is fine) *
AHEC affiliation of your team *
Which field experience activity has your team selected? *
Briefly tell us about your team's plans - which activity do you plan to do and how / where do you plan to do it?  (If you aren't sure, tell us what you've discussed so far.) *
How much assistance do you and your team need from your AHEC Scholars staff person? *
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