Volunteer for SAID – UW Medicine Alumni

Please complete the registration form below. Be sure to include the date and time you'd like to host, or check the box asking us to send you a reminder to schedule it later. Prior to your meeting, we will send you your students' names, along with their contact information and short bios.

If you have any questions, please contact us at medalum@uw.edu or 206.685.1875.

Name*

First Last

Which program are you participating in?*

Seattle
Spokane

UW Medicine e-year*

UW Medicine graduation year*

Email*

Enter Email Confirm Email

Preferred contact number*

Please enter as ###-###-####.

Phone number type*

Home
Work
Cell

Specialty*

Event Information

Please select the date (Oct. 1–Nov. 17) you will host a SAID event. Please do not schedule your discussion on a Sunday night; students often have exams on Mondays, which could affect attendance.

If you would like to participate but cannot choose a date yet, please check this box, and we will follow up with you. You may also email us at medalum@uw.edu with the details when you have them.

Event start time*

: HH

MM

Event end time*

: HH

MM

Event location (please include name and address; if you haven't selected a location, enter TBD)*

How many students are you able to host for the discussion?*

2
3
4
Up to six students

What is the best way for students to get to your home/meeting place?

Car
Public transportation
I can pick up students in a central place.

Please specify.*

Did you host a SAID event last year (in November or April)?

Yes
No

Would you like to make any updates to the bio you provided last time?

Please tell us a bit about yourself. We will share this information with students when they register for SAID. We suggest you include where you practice(d), as well as information about your career path, your hobbies and your personal and professional achievements.*

I'd like to host my SAID event with a fellow alum.

Co-host name

Co-host email

Co-host specialty