1. Please provide your full name (First and Last)

2. Please provide your class year (1L, 2L, 3L)

3. Please provide your e-mail address

4. Will you be available to staff the clinic on both Saturday, March 23rd and Sunday, March 24th?

5. Please let us know if you have any time constraints or scheduling conflicts that we should take into account before assigning you to a shift.