Earth Week Bingo - Registration Form

Kick off Earth Week with a fun, sustainability-focused bingo challenge! Complete activities aimed at raising awareness and promoting eco-friendly habits.

The bingo card will be sent to registrants on April 22, 2025.

Applicant information

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* 1. Last name

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* 2. First name

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* 3. Email address

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* 4. Occupation:

Student

Faculty Member

Staff

Other (please specify)

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* 5. Degree:

Bsc

Msc

MPH

MD

PhD

MD/PhD

PGME

Other (please specify)

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* 6. Program details (e.g., MSc in Epidemiology) or department

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* 7. Are you registered in the Concentration in Global Health and Social Accountability?

Yes

No