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 Zoom link, as well as students' names and contact information.

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

Name*

First Last

What are your pronouns?*

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 (Nov. 1 - Dec. 19) you will host a virtual SAID event. Please do not schedule your discussion on a Sunday night; students often have exams on Mondays, which could affect attendance. Please also be mindful of Veterans Day and Thanksgiving holidays.*

Event start time*

:

Event end time*

:

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

2
3
4
Up to six students

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.*

Would you like to host your event with a fellow alum?*

Yes
No

Co-host name

Co-host specialty

Co-host email

I would like to host my SAID event around a theme or topic:

My specialty area and general discussion
MD/PhD
Private practice
Academic medicine
Public health and advocacy
Maintaining work/life balance
Healthcare equity/underserved medicine
An identity underrepresented in the medical field
Other

Please indicate the identity on which you'd like to speak:

Please indicate other topic or interest area here: