• National Conference Co-Chairs Application 2016-2017

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  • Personal Information

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  • Desired Position
    Please confirm you are applying for the Conference Chair position.

  • Message for AMWA Members
     Why is it important to you to be involved in AMWA? What are your goals and hopes for AMWA? What are your qualifications? What do you plan to do for AMWA members in your elected role? Please limit your message to ≤200 words. This message will be displayed on the online ballot.

    Note: If you are running for a drop-down position in addition to an executive board position, please include your speech for the drop-down position here. If you are only running for an executive position, please skip this section and submit a video speech below.

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  • Biosketch  
    Please share a biosketch of ≤200 words. This will be posted on the online ballot. If selected, this bio will then be published to the AMWA website.

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  • Activites in 2016-2017
    Please list and briefly describe other activities (school and extracurricular) you are engaging from Nov 2015 to April 2017.

  • Photo 
    Please upload a passport-sized photo of yourself in front of a plain white background.

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  • CV/Résumé
    Please upload a CV/résumé, no longer than 2 pages.

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  • Agreement and Electronic Signature  

    By submitting this application, I affirm that, if selected, I:
    -  Am national AMWA member currently enrolled in an MD, DO, or combined degree program.
    - Will reigster for the 2016 AMWA Annual Meeting and am attedning the student leadership kick off meeting at the Annual. 
    - certify that I will attend the 2017 AMWA Annual Meeting in San Francisco for the entire duration. 

     

     

     

     

     

     

     

     

    I affirm that I have reviewed the application instructions. I affirm that the facts set forth here are true and complete. I understand that if I am elected as an AMWA leader, any false statements, omissions, or other misrepresentations made by me on this application may result in my dismissal.

     

     

     

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