Become a HOST

Personal Information

First name

(Required)

Last name

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Preferred email address

(Required)

Phone number

(Required)

Specialty

(Required)

Upload your headshot

Upload your biography and/or resume

Please provide us with a brief statement about why you want to help our students/ residents:

Hospital Affiliation

UB HOST Volunteer Opportunities

I would like to: (check all that apply)

Provide complimentary transportation to/from airport or train station

Provide complimentary transportation to/from interview

Provide a tour of the area

Connect with students/residents via phone about questions concerning residency, specialty, and/or the medical community

Connect with students/residents via email about questions concerning residency, specialty, and/or the medical community

Connect with students/residents via in-person meetings about questions concerning residency, specialty, and/or the medical community

Provide additional opportunities for students/residents (research, shadowing, jobs)

Become a mentor

Additional Volunteer Opportunities:

Get involved with my regional chapter/area

Learn about additional volunteer leadership opportunities

Host mixers for new residents in my area

Learn more about the Build the Vision Campaign

Become a reunion volunteer

Additional Information

Proud moments & accomplishments while in medical school

For example: AOA, GHHS, Polity Rep, etc.

Spouse/ Partner's name

Are you retired?

Yes

Seasonal address, time of year you are there

Security Check

(Required)

Become a HOST

Events

Reunion

Medical Alumni Association

Medical Emeritus

UB DoctHERS

UB HOST

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Student Scholarships

UB Medicine Magazine

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