Thank you for participating in Cornell's Women in Healthcare Leadership Chapter! Please fill out the survey below to indicate your interest in participating in various events over the next year. We look forward to meeting you! Please reach out with any questions.

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* 1. Please indicate your name here

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* 2. What is the best email to reach you at?

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* 3. Are you currently an undergraduate or graduate student?

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* 4. What year are you graduating from Cornell?

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* 5. If you are part of Greek Life, please indicate the organization you are part of

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* 6. What is your current major or academic focus at Cornell?

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* 7. How would you like to participate in WIHL? Please check the boxes below to indicate your interest. Associate positions are assigned to specific executive committee members to help with their functions (you can only indicate interest in 1 associate position). If you are interested in associate positions, we can follow up with additional information or you can indicate questions in Q9.

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* 8. If you are an undergrad, would you be interested in participating in our mentorship program where you will be assigned to a graduate mentor who is studying healthcare administration? If so, we will send you more information.

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* 9. Anything you would like us to know about your interest in WIHL events? Any questions about items mentioned in the survey?

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