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VITA 2021-2022 Interest Form
Hello!
Please fill out the following form to be added to the VITA panlist for this year. We'll be sharing information about training sessions, certification, and volunteer shifts.
We'd love to have you on the team!
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First Name
Your answer
Last Name
Your answer
Yale Email Address
Your answer
Class Year/Affiliation
2025
2024
2023
2022
GSAS
YLS
SOM
Other:
Clear selection
Have you participated in VITA before?
Yes - for 1 year
Yes - for 2 years
Yes - for 3 years
No
Clear selection
Any questions or concerns!?
Your answer
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