Update Your Information and Volunteer Interest Form

Update Your Information and Volunteer Interest Form

Your Name

 

 

 

 

Spouse/Partner Name

 

 

 

 

If yes, please indicate graduation information in the box below.

Is your spouse/partner an alumnus?

Is your spouse/partner an alumnus?

If yes, please indicate graduation information in the box below.

Contact Information

To update international addresses, please contact Dentalum@uic.edu.

 

 

 

This number is

This number is

 

This email is

This email is

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Work Address

 

 

 

 

Tell Us How You’d Like to Engage with the College

We are searching for volunteers who are leaders in their communities, forward-thinking dental professionals who enjoy team work and want to contribute to changing the future or oral healthcare in various ways at the College. Opportunities include but not limited to:

Please indicate your areas of interest:

Please indicate your areas of interest: