Families at the Border
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Name:
Email:
Comment:
Email Address
*
First Name
Last Name
Institution/Organization
Position/Title
Affiliation(s) (check all that apply)
Undergraduate student
Graduate student
Medical student
Resident/Postdoc
Healthcare provider
Academic professional
Nonprofit
Private sector
Media
Other
Which efforts would you be interested in joining?
General Volunteer (supplies, outreach, etc.)
Provider (interested in providing care at the border)
Writing (helps write Op-Eds, increase media presence)