Thank you for your interest in the Student/Alumni dinners! To sign up to be a dinner host for the medical students, please complete the form below by February 3, 2023.

Should you have any questions, please connect with Cassie Mattson at cmattson53@siumed.edu.

Please indicate if the phone number is a work phone, cellphone, or home phone. 
Please select how you would like to host the students for dinner:
Can a student bring their spouse or significant other?
Date I would like to host: