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Office of Outreach & Academic Advancement
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Admissions Workshop

SATURDAY, MARCH 8, 2008
Please register by February 27, 2008.

Cost: $10.00 per person

Send your check for $10.00 made payable to UC Regents to: UCSF School of Medicine
Office of Outreach and Academic Advancement

1855 Folsom Street, Box 0409
San Francisco, CA 94143-0409
Phone (415) 514-2277

On-line registration and payment of $10.00 is required of each attendee in your party. There are no group discounts.

Seats are limited so please register as early as possible. Walk-ins and those who enroll after the deadline cannot be guaranteed a seat.

Last Name:*
First Name:*
Street Address:*
City:*
State:*
Zip Code:*
Daytime Phone Number:*
(Note: Do not use dashes, parentheses or extra spaces)
E-mail address:*
Undergraduate Institution:*
Expected Year of Graduation:*
(If you have already graduated, please indicate year of graduation)
Undergraduate Major:*
Ethnicity (optional):
* denotes required field
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