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. If you decide to host your SAID event in person, we reserve the right to change the session to a virtual opportunity if new guidance for gatherings is issued by UW, the School of Medicine or local officials.

Prior to your meeting, we will send you your Zoom link, if applicable, 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

Event Location*

Virtual (Zoom link will be provided)
Seattle
Spokane

We welcome alumni who want to host students in person throughout the WWAMI region. Please note, if your event is far from one of the foundations site cities (Seattle, Spokane, Anchorage, Moscow, Bozeman, and Laramie), student registration may be low. We recommend that those outside the WWAMI region and those in areas with higher rates of COVID community transmission register to host virtually.

Session Location

SAID events are typically held in the home or at a restaurant. If you would prefer to decide the exact location of your event closer to the date, simply write “TBD” in the form.

Please select the date (Oct. 1 - Dec. 18) you will host a virtual or in-person 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 (11/11) and Thanksgiving (11/24) holidays.*

Event start time*

:

We recommend planning for events that last one to two hours. Virtual events tend to work best with a 90 minute timeframe, while in person events tend to last longer.

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 fall?*

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:

COVID-19 Risk Acknowledgement*

I agree.

UW Medicine is following UW, local and national COVID-19 safety guidelines for small gatherings such as SAID events; however, contact with individuals outside of your household is not completely without risk.

I acknowledge that my attendance at these in-person events is optional, that virtual options have been offered, and that in attending this event in person, I do so at my own risk. I understand that if local conditions or University policies change, this event may be moved to an online format, which the alumni office will facilitate. I agree to abide by the COVID safety measures required by the School of Medicine and that I will notify the event organizer at any time if I am concerned about my level of COVID safety risk.