DOSAR Participant Registration
Thank you for your interest in the 11th annual Day of Service and Reflection (DOSAR)!

On Saturday, May 18th join the UChicago Medicine Urban Health Initiative and the University Community Service Center at the Friend and Family Health Center at 800 East 55th Street where we will begin our day of service to the community.
 
A continental breakfast will be served at 8 am, you will be bussed to your work site at 9:00am and will work on your project until noon or shortly after. Buses will return to the Friend Center at 1:00pm for lunch and reflection on the day's activity. The day ends at 2:00pm.

For more information about this event, please contact Crystal Coats at cpernell@uchicago.edu or (773) 795-6451, or the Group Service Intern at dayofservice.ucsc@gmail.com 
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First & Last Name *
Phone Numer *
Email Address *
What is the name of the house/RSO/group you would like to volunteer with? *
If you are volunteering as an individual, please indicate "individual"
UChicago Affiliation *
If you are a graduate student, what division are you a part of?
6 Digit Student ID Number (if applicable)
Are you a member of the South Side Health Care Collaborative? *
Will you require any special accomodations?
(physical limitations, allergies, etc.)
T-Shirt Size *
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