Thank you for your interest in facilitating a ConnectatKPNC workshop. We truly value your time and commitment to supporting pre-med and medical students on their educational journey! Name(Required) First Last Email(Required) Program(Required)Are you available to facilitate a ConnectatKPNC workshop?(Required) Yes No Would you like to recommend a colleague, faculty or resident to facilitate a ConnectatKPNC workshop? If so, please provide contact information below.(Required) Yes No Name First Last EmailName First Last EmailI would like to facilitate a workshop on the following: December 4th at 5:00 pm December 5th at 5:00 pm December 11th at 5:00 pm December 12th at 5:00 pm March 19th at 5:00 pm March 20th at 5:00 pm Deselect AllCommentsThis field is for validation purposes and should be left unchanged.