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TeleHealth Group Sign Up: Buy 5 Get 1 Free

** You do not have to be a student of the University listed, that is only where the chapter originates

Trip dates: April 5—June 30, 2021

Cost: $445

Spots remaining: 90

  • Sign Up

  • Intern 1

  • Note: must be an email through which you can access Google Drive
  • Intern 2

  • Note: must be an email through which you can access Google Drive
  • Intern 3

  • Note: must be an email through which you can access Google Drive
  • Intern 4

  • Note: must be an email through which you can access Google Drive
  • Intern 5

  • Note: must be an email through which you can access Google Drive
  • Intern 6

  • Note: must be an email through which you can access Google Drive
  • Other Information

  • If you answered "other" to the prior question, please elaborate.
  • Please note their full name, including first and last name, and university, if applicable.