MEDICAL LABORATORY SCIENCE CLUB ACTIVITY REGISTRATION FORM

If you would like to become involved in the Medical Laboratory Science (MLS) club, please fill out this form below or email: mcoleman@medicine.nodak.edu or mail to Box 9037_Pathology, Grand Forks, ND 58202.

*Name: *UND Email Address: Local Phone: Local Post Office Address:   1. Please indicate the dates and times that would work for you for a meeting time. Day Noon 5 Pm 7 Pm Other Monday Tuesday Wednesday Thursday Friday   2. Check ideas that interest you: Program topics: (List topics / Field trips that would be of interest -)   Education and time management topics Speed reading Studying tips Time management Other topics     Field Trips Trip to Human Nutrition Lab Trip to Veterinarian Clinic Lab Trip to Potato Research Lab Trip to Mayo Clinic Labs Trip to Hennepin County Medical Center Lab   State Meeting Activities ASCLS-ND State Meeting will be in Grand Forks, ND, Apr 22-24, 2009. Would you be interested in helping out at meeting and/or attending meeting? Yes No   Social Activities Tailgating Potluck Pizza and Soda get together Swim party Bowling, UND Order T shirts with MLS/ CLS logo Videos and Popcorn Order Sweat shirts with MLS/CLS logo Other ideas     Public Service Donor blood bank drive Other Service Mission lab supplies drive   If you are willing to help with an activity? Yes No Would you be willing to run for an office for fall 2008, and if so, which one   Thank you for your input. Notice of meetings will be posted in the medical school and/or memorial union or via email.   Advisor: Mary Coleman, phone 777-2652, email: mcoleman@medicine.nodak.edu

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