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Student-Alumni Informational Dinners
Student Information and Sign-up Form

Are you hungry for information about medical practice? Hungry for advice and support? Maybe just plain hungry?

Join us for the Student Alumni Informational Dinners, a program coordinated by the UW Medicine Alumni Relations office. SAID is designed to match medical students interested in a given specialty with UW School of Medicine alumni who practice in that specialty.

Winter 2009 Dinners:	Spring 2009 Dinners:
February 28, 2009 March 1, 2009	Saturday April 4, 2009 Sunday April 5, 2009

FOR MORE INFORMATION, call UW Medicine Alumni Relations at 206-685-1875 or toll free 1-866-633-2586 or email medalum@u.washington.edu.

Please fill out this form completely.

Your Information:
* Full name:
* Email:
* Preferred phone:
* Class Year:

Dates

I am able to attend a dinner with an alumni host on:
Winter	Saturday, February 28, 2009
	Sunday, March 1, 2009

Spring	Saturday, April 4, 2009
	Sunday, April 5, 2009

I am not available either weekend, but would like to schedule a mutually convenient time with an alumni host.

Specialties:
Please indicate the three specialties in which you are most interested. If the specialty you are interested in isn't listed, please note your specialty preference in "other" at the bottom of the list.

First preference:
Second preference:
Third preference:

Other Preference:

Do you want to meet with an alumnus even if we aren't able to match you with one of your preferred specialties?
Yes	No
Please indicate any special dietary restrictions and/or allergies: *required field

Click here to log in to the UW Medicine Alumni Directory with your UW Net ID

Student-Alumni Informational Dinners Student Information and Sign-up Form

Winter 2009 Dinners:

Spring 2009 Dinners:

Please fill out this form completely.

Dates

Student-Alumni Informational Dinners
Student Information and Sign-up Form