<html><body style="font-family: Roboto,Helvetica,Arial,sans-serif; margin: 0; padding: 0; height: 100%; width: 100%;"><table border="0" cellpadding="0" cellspacing="0" style="background-color:rgb(255,152,0);" width="100%" role="presentation"><tbody><tr height="64px"><td style="padding: 0 24px;"><img alt="Google Forms" height="26px" style="display: inline-block; margin: 0; vertical-align: middle;" width="143px" src="https://www.gstatic.com/docs/forms/google_forms_logo_lockup_black_2x.png"></td></tr></tbody></table><div style="padding: 24px; background-color:rgb(255,240,217)"><table align="center" border="0" cellpadding="0" cellspacing="0" style="max-width: 672px; min-width: 154px; border-collapse: separate; border-spacing: 0 0.2em;" width="100%" role="presentation"><tbody><tr><td style="font-size: 13px; line-height: 18px; color: #424242; font-weight: 700">Having trouble viewing or submitting this form?</td></tr><tr height="8px"><td></td></tr><tr><td><table border="0" cellpadding="0" cellspacing="0" width="100%"><tbody><tr><td><a href="https://docs.google.com/forms/d/e/1FAIpQLSd8ntHWpmnsvV2NQP-kGpNmxc8Z3OSOMb40QKWcx8kwQ2Paag/viewform?vc=0&c=0&w=1&flr=0&usp=mail_form_link" style="border-radius: 3px; box-sizing: border-box; display: inline-block; font-size: 13px; font-weight: 700; height: 40px; line-height: 40px; padding: 0 24px; text-align: center; text-decoration: none; text-transform: uppercase; vertical-align: middle; color: #000; background-color: rgb(255,152,0);" target="_blank" rel="noopener">Fill out in Google Forms</a></td></tr></tbody></table></td></tr><tr height="24px"><td></td></tr></tbody></table><div align="center" style="background-color: #fff; border-bottom: 1px solid #e0e0e0;margin: 0 auto; max-width: 624px; min-width: 154px;padding: 0 24px;"><table align="center" cellpadding="0" cellspacing="0" style="background-color: #fff;" width="100%" role="presentation"><tbody><tr height="24px"><td></td></tr><tr><td><span style="display: table-cell; vertical-align: top; font-size: 13px; line-height: 18px; color: #424242;" dir="auto">Hello all!<br><br>Savannah and I are helping to coordinate the Envision event taking place on Wednesday, June 22nd 9AM-5PM (required for all of us) at the DO school. This is a full day event filled with high school students that are excited to have the opportunity to work with us and ask questions - we could make an impact on their future career choice! We are tasked with assigning students to multiple jobs throughout the day and wanted to see if you had input on where you would be placed. We will try to be as accommodating to your preferences as we can! <br><br>Please fill out this survey by Tuesday, May 31st at 12 PM. If you do not submit by then, we will place you wherever you are needed.<br><br>Thank you!<br><br>Rachel & Savannah</span></td></tr><tr height="20px"><td></tr><tr style="font-size: 20px; line-height: 24px;"><td dir="auto"><a href="https://docs.google.com/forms/d/e/1FAIpQLSd8ntHWpmnsvV2NQP-kGpNmxc8Z3OSOMb40QKWcx8kwQ2Paag/viewform?vc=0&c=0&w=1&flr=0&usp=mail_form_link" style="color: rgb(255,152,0); text-decoration: none; vertical-align: middle; font-weight: 500">Envision Event (CUSOM/CUPA Health Fair Day)</a><div itemprop="action" itemscope itemtype="http://schema.org/ViewAction"><meta itemprop="url" content="https://docs.google.com/forms/d/e/1FAIpQLSd8ntHWpmnsvV2NQP-kGpNmxc8Z3OSOMb40QKWcx8kwQ2Paag/viewform?vc=0&c=0&w=1&flr=0&usp=mail_goto_form"><meta itemprop="name" content="Fill out form"></div></td></tr><tr height="16px"></tr><tr><td style="display: table-cell; vertical-align: top; font-size: 13px; line-height: 18px; color: #424242;" dir="auto">Wednesday, June 22nd 9am -5pm<br>Health Fair held by CUSOM/CUPA for local high school students<br>There will be multiple interactive stations for the students to participate in<br>- each station is run by PA & DO students<br>There will be 8 groups of high school students, lead/mentored by a group of PA & DO students <br>**THIS EVENT IS MANDATORY FOR ALL PA STUDENTS TO PARTICIPATE IN**<br>butttt you get dat free lunch doe!!! <br><br>Please fill this out by Tuesday, May 31st at 12pm</td></tr><tr height="24px"></tr><tr><td><div class="ss-form" style=""><form action="https://docs.google.com/forms/u/0/d/e/1FAIpQLSd8ntHWpmnsvV2NQP-kGpNmxc8Z3OSOMb40QKWcx8kwQ2Paag/formResponse" method="POST" id="ss-form" target="_self" style=""><ol role="list" class="ss-question-list" style="padding-left: 0;list-style-type:none;">

<div class="ss-form-question errorbox-good" role="listitem" style="">
<div dir="auto" class="ss-item ss-item-required ss-text" style="margin:12px 0;"><div class="ss-form-entry" style="margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%;"><label class="ss-q-item-label" for="entry_366340186" style=""><div class="ss-q-title" style="display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em;">Type Your Name (First Last)
<label for="itemView.getDomIdToLabel()" aria-label="(Required field)" style=""></label>
<span class="ss-required-asterisk" aria-hidden="true" style="color:#c43b1d;">*</span></div>
<div class="ss-q-help ss-secondary-text" dir="auto" style="display:block;margin:.1em 0 .25em 0;color:#666;"></div></label>

<input type="text" name="entry.366340186" value="" class="ss-q-short" id="entry_366340186" dir="auto" aria-label="Type Your Name (First Last)  " aria-required="true" title="" style="">


</div></div></div> <div class="ss-form-question errorbox-good" role="listitem" style="">
<div dir="auto" class="ss-item ss-item-required ss-radio" style="margin:12px 0;"><div class="ss-form-entry" style="margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%;"><label class="ss-q-item-label" for="entry_1370278727" style=""><div class="ss-q-title" style="display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em;">Would you prefer to be a part of an interactive station, or be a part of a mentor group? (see event details at top of survey for more information)
<label for="itemView.getDomIdToLabel()" aria-label="(Required field)" style=""></label>
<span class="ss-required-asterisk" aria-hidden="true" style="color:#c43b1d;">*</span></div>
<div class="ss-q-help ss-secondary-text" dir="auto" style="display:block;margin:.1em 0 .25em 0;color:#666;"></div></label>


<ul class="ss-choices" role="radiogroup" aria-label="Would you prefer to be a part of an interactive station, or be a part of a mentor group? (see event details at top of survey for more information)  " style="list-style:none;padding:0;margin:.5em 0 0;"><li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="radio" name="entry.1333068238" value="Interactive Station" id="group_1333068238_1" role="radio" class="ss-q-radio" aria-label="Interactive Station" aria-required="true" style=""></span>
<span class="ss-choice-label" style="">Interactive Station</span></label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="radio" name="entry.1333068238" value="Mentor Group" id="group_1333068238_2" role="radio" class="ss-q-radio" aria-label="Mentor Group" aria-required="true" style=""></span>
<span class="ss-choice-label" style="">Mentor Group</span></label></li></ul>

</div></div></div> <div class="ss-form-question errorbox-good" role="listitem" style="">
<div dir="auto" class="ss-item  ss-checkbox" style="margin:12px 0;"><div class="ss-form-entry" style="margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%;"><label class="ss-q-item-label" for="entry_759547309" style=""><div class="ss-q-title" style="display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em;">If you wanted to be a part of the Interactive Station, which station would you prefer? Check a max of 2
</div>
<div class="ss-q-help ss-secondary-text" dir="auto" style="display:block;margin:.1em 0 .25em 0;color:#666;"></div></label>


<ul class="ss-choices" role="group" aria-label="If you wanted to be a part of the Interactive Station, which station would you prefer? Check a max of 2  " style="list-style:none;padding:0;margin:.5em 0 0;"><li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="checkbox" name="entry.1518614377" value="CPR" id="group_1518614377_1" role="checkbox" class="ss-q-checkbox" style=""></span>
<span class="ss-choice-label" style="">CPR</span></label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="checkbox" name="entry.1518614377" value="Airway" id="group_1518614377_2" role="checkbox" class="ss-q-checkbox" style=""></span>
<span class="ss-choice-label" style="">Airway</span></label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="checkbox" name="entry.1518614377" value="Suturing" id="group_1518614377_3" role="checkbox" class="ss-q-checkbox" style=""></span>
<span class="ss-choice-label" style="">Suturing</span></label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="checkbox" name="entry.1518614377" value="Ultrasound" id="group_1518614377_4" role="checkbox" class="ss-q-checkbox" style=""></span>
<span class="ss-choice-label" style="">Ultrasound</span></label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="checkbox" name="entry.1518614377" value="Peds SIM (ER)" id="group_1518614377_5" role="checkbox" class="ss-q-checkbox" style=""></span>
<span class="ss-choice-label" style="">Peds SIM (ER)</span></label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="checkbox" name="entry.1518614377" value="Peds SIM (ICU)" id="group_1518614377_6" role="checkbox" class="ss-q-checkbox" style=""></span>
<span class="ss-choice-label" style="">Peds SIM (ICU)</span></label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="checkbox" name="entry.1518614377" value="Adult SIM (multipurpose)" id="group_1518614377_7" role="checkbox" class="ss-q-checkbox" style=""></span>
<span class="ss-choice-label" style="">Adult SIM (multipurpose)</span></label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="checkbox" name="entry.1518614377" value="Adult SIM (OB)" id="group_1518614377_8" role="checkbox" class="ss-q-checkbox" style=""></span>
<span class="ss-choice-label" style="">Adult SIM (OB)</span></label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="checkbox" name="entry.1518614377" value="Operating Room" id="group_1518614377_9" role="checkbox" class="ss-q-checkbox" style=""></span>
<span class="ss-choice-label" style="">Operating Room</span></label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="checkbox" name="entry.1518614377" value="I prefer to be a part of the mentor groups" id="group_1518614377_10" role="checkbox" class="ss-q-checkbox" style=""></span>
<span class="ss-choice-label" style="">I prefer to be a part of the mentor groups</span></label></li></ul>

</div></div></div> <div class="ss-form-question errorbox-good" role="listitem" style="">
<div dir="auto" class="ss-item ss-item-required ss-radio" style="margin:12px 0;"><div class="ss-form-entry" style="margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%;"><label class="ss-q-item-label" for="entry_1705139262" style=""><div class="ss-q-title" style="display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em;">In addition to either being a part of a interactive station/ mentor group, would you be interested in participating in a Q&A panel?
<label for="itemView.getDomIdToLabel()" aria-label="(Required field)" style=""></label>
<span class="ss-required-asterisk" aria-hidden="true" style="color:#c43b1d;">*</span></div>
<div class="ss-q-help ss-secondary-text" dir="auto" style="display:block;margin:.1em 0 .25em 0;color:#666;"></div></label>


<ul class="ss-choices" role="radiogroup" aria-label="In addition to either being a part of a interactive station/ mentor group, would you be interested in participating in a Q&A panel?  " style="list-style:none;padding:0;margin:.5em 0 0;"><li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="radio" name="entry.343223025" value="Yes" id="group_343223025_1" role="radio" class="ss-q-radio" aria-label="Yes" aria-required="true" style=""></span>
<span class="ss-choice-label" style="">Yes</span></label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="radio" name="entry.343223025" value="No" id="group_343223025_2" role="radio" class="ss-q-radio" aria-label="No" aria-required="true" style=""></span>
<span class="ss-choice-label" style="">No</span></label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="radio" name="entry.343223025" value="Maybe" id="group_343223025_3" role="radio" class="ss-q-radio" aria-label="Maybe" aria-required="true" style=""></span>
<span class="ss-choice-label" style="">Maybe</span></label></li></ul>

</div></div></div> <div class="ss-form-question errorbox-good" role="listitem" style="">
<div dir="auto" class="ss-item  ss-radio" style="margin:12px 0;"><div class="ss-form-entry" style="margin-bottom:1.5em;vertical-align:middle;margin-left:0;margin-top:0;max-width:100%;"><label class="ss-q-item-label" for="entry_1934560217" style=""><div class="ss-q-title" style="display:block;font-weight:bold;margin-top:.83em;margin-bottom:.83em;">Please select this box if you know you have an excused absence for this day, or part of this day
</div>
<div class="ss-q-help ss-secondary-text" dir="auto" style="display:block;margin:.1em 0 .25em 0;color:#666;"></div></label>


<ul class="ss-choices" role="radiogroup" aria-label="Please select this box if you know you have an excused absence for this day, or part of this day  " style="list-style:none;padding:0;margin:.5em 0 0;"><li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="radio" name="entry.890484743" value="excused absence all day" id="group_890484743_1" role="radio" class="ss-q-radio" aria-label="excused absence all day" style=""></span>
<span class="ss-choice-label" style="">excused absence all day</span></label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;">
<label><span class="ss-choice-item-control goog-inline-block" style="position:relative;display:inline-block;"><input type="radio" name="entry.890484743" value="excused absence for part of the day" id="group_890484743_2" role="radio" class="ss-q-radio" aria-label="excused absence for part of the day" style=""></span>
<span class="ss-choice-label" style="">excused absence for part of the day</span></label></li></ul>

</div></div></div>
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