Emergency Medicine Club 2022-2023 Executive Board Application
The Emergency Medicine Club is one of the largest and most active clubs on campus.  The time has come to pass the torch and give the next DO class the responsibility of carrying on the club's mission!  If you have not already done so, please review the Executive Board position descriptions on our website prior to completing the application: https://www.ridethelightning.org/leadership.

The deadline for the application is Friday, January 21, 2022 @ 11:59 pm; you MUST be a dues-paying member to apply.

Your responses will be compiled and reviewed by the Executive Board; you will be notified via email of the outcome of your application by the evening of Friday, February 4, 2022.  Positions will be filled following an interview with the Executive Board during the week of February 1, 2022
Email *
First & Last Name *
Phone Number *
Program *
Which E-Board positions are you interested in? (Select all that apply) *
Required
Which E-Board position is your top choice? *
Briefly explain why you want to serve as an Executive Board member/leader for the club. *
Why do you think you would be a good fit for your top choice E-Board position? *
What are some ideas that you have for the club in the upcoming year?  Please include ideas for your top choice position and the club in general. *
Do you have any experience in Emergency Medical Services (EMS) or Emergency Medicine? *
If you answered the previous question "yes," please briefly explain:
Are you interested in being a facilitator/instructor during Simulation Lab (patient cases) and Skill Lab sessions? *
Are you interested in choosing a research article and leading members in a monthly Journal Club session? *
Briefly list/explain any previous leadership experience.  If you do not have any prior experience, type "N/A." *
If you are currently serving in other leadership roles, please list them here or type "N/A." *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Philadelphia College of Osteopathic Medicine. Report Abuse
Google Forms