2022 RARE Compassion Program Participation Form- Medical Student

Student Information
This information is being gathered so we can match you with a patient. This info will remain private and only your name and email address will be shared with the match. It is your decision to share any other info further. If you're a PhD candidate please let us know in the comments or where we ask for your school affiliation (list your academic institution) and year in school.

During the program, you will be required to attend four end of rotation meetings where we discuss the conversations held with your partners and showcase various medical professionals as guest speakers. The meetings will be held at the same time on the same day of the week every two months. Please provide your availability to attend the end of rotation meetings below.