Affiliated Students


https://www.youtube.com/watch?v=YSieu9rh6KUZippity Doo Dah gives to BCHJackson Free Clinic
  • Affiliated Students School Submission

    Complete the following questions and attach the completed spreadsheet for your school's students.

    * = Required Fields

    School Name:*
    School Program Name*
    School Program Coordinator*
    Program Coordinator's Phone Number:*
    Name of UMMC Contact*
    File attachment*
     
    *.txt,*.doc,*.docx,*.xls,*.xlsx,*.pdf