* 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.