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University of Southern California Davis School of Gerontology
Name:
Gender:
Male
Female
Year of Birth:
Street Address:
Zip Code:
Phone Number:
Email:
How would you prefer to be contacted?
Phone
Email
Most studies are on the main University Park Campus, but some are conducted in USC research labs at the USC Health Sciences or Marina Del Ray Campuses and a few can be scheduled in your home or other locations. Please check off which locations you would be able to come to (free parking is usually available to participants):
University Park Campus (three miles south of downtown LA)
Health Sciences Campus (three miles east of downtown LA)
Marina del Rey
Your Home
Unsure
We do not always have on-going studies so most participants will not be contacted frequently. In case we have multiple studies going on, we would like to know how often you would be interested in participating in studies.
I would like to be offered the opportunity to participate:
As often as there are available studies
About once a month
3-6 times a year
2-3 times a year
Once a year
If you have preferences about which type of studies you are most interested in or would not be interested in completing, please describe those preferences here:
Where did you learn about the USC Healthy Minds Volunteer Corps?
Please note that you may always change these preferences or remove yourself from the list.
Thank you for your interest!