Screen Reader Mode Icon

Question Title

* 1. Please enter your name.

Question Title

* 2. Please provide your e-mail address so that we can contact you.

Question Title

* 3. Are you willing to participate in UUJEC's Health Care Task Force during 2021 and 2022?

Question Title

* 4. Are you willing to attend a meeting to organize this effort? Note: Most UUJEC meetings occur on Zoom.  

Question Title

* 5. How much time are you willing to devote to such a meeting? (Check all that are okay.)

Question Title

* 6. Which day(s) of the week are best for you? (Check all that are okay.)

Question Title

* 7. What hours of the day work best for you? (Check up to two non-overlapping choices.)

Question Title

* 8. Which weeks are okay for you. Which are not? (Check all that are okay).

Question Title

* 9. Would you serve on the organizing committee for this meeting??

0 of 9 answered
 

T