2024 Midwinter Meeting Student Chair Form We invite D3 and D4 dental students from UIC COD, MWU CDM-IL and SIU SDM to serve as Midwinter Meeting Room ChairsYou will receive a $200 honorarium, breakfast, lunch and CE credit for serving the whole day. You must be registered for the Midwinter Meeting.Complete the application below. Question Title * 1. Name Question Title * 2. Address Question Title * 3. Cell phone Question Title * 4. Personal Email Address Question Title * 5. School Email Address Question Title * 6. Class D-3 D-4 DMD-AS3 DMD-AS4 Other (please specify) Question Title * 7. Dental School UIC-COD MWU CDM-IL SIU-SDM Other (please specify) Question Title * 8. Service Dates - Please check all the available days you are available to serve. You will be assigned to serve on one of those days. Thursday, Feb. 22, 2024 Friday, Feb. 23, 2024 Saturday, Feb. 24, 2024 Question Title * 9. I agree to provide a personal signature in order to allow CDS to process my per diem check I agree Done