CFHI

Alumni New

Where are you now?

CFHI is committed to keeping in touch with as many of its global network of alumni as possible. Please help us to stay in touch with you by completing this form.

The information you provide will help us keep track of your careers and activities and inform you about reunions and alumni opportunities that may be of interest to you.

*We will not share your personally identifiable information with third parties (aside from entities that perform services for us, such as credit card payments, that either are bound to comply with our privacy policy or have privacy policies of their own that protect your information) unless you have opted in to such sharing.. For more information on CFHI's privacy policy click here.

1. Your personal details

Title:

Gender:

First name(s):

Last Name:

Maiden name (if applicable):

Distinctions (MD,MPH etc.):

Date of birth:

2. Your contact details

Preferred mailing address

Zip code :

Is this your:

Other ( please state ):

Home phone:

Work phone:

Mobile phone:

Email address:

3. Your employment or University/ College details

Type of business /organization (e.g hospital, healthcare )
Job Title
Company/Organization name:
Medical School/University/College:
Current Year :

4. Current Directorships/Trusteeships/Board memberships etc.

Position:

Organization:

5. Student Advice

Would you like to become a CFHI campus representative? (if yes, we may contact you to be a reference for interested students on your campus, or attend study abroad fairs at your school or home area.)

Send us your news and let us know what you are doing now...

Would you like your news included in future alumni newsletters or on the CFHI web site?