Students in Medicine - Membership Interest Form
This form is for us to estimate how many students would be interested in signing up for our programs at Students in Medicine. To give an overview, we are planning to conduct online sessions with different doctors, med students, and those with extensive background of the medical field. Each online session will take place once a month in a panel setting, in which each panel will include a theme mental health, psychology, surgery, pediatrics, medical controversy, career, etc. We would like to take your feedback to try to adjust your schedule as well as the presenter's so please keep in mind anything you fill out on this form does not mean that it is confirmed, we will do our best to adjust everyone's needs. Please fill out all the information and let us know your interests that way we can have a better program that fits everyone! Thank you for your time!
Email *
Name (First AND Last)-in case there is a repeat in names *
Grade and Age *
Please fill out this form!   https://forms.gle/qL71MEscLiNnMmjNA                                                          Filling out this form will let us improve our program regarding where all our students are located! It is super quick and won't take more than 15 seconds! *
What kind of online format would work best for you? *
Required
The following question is to give us a better idea on when most students would be available to participate. Please chose days that you feel you will be most available. *
Required
The following question is to give us a better idea on when most students would be available to participate ON WEEKDAYS. Please chose the times you feel you would be most available. *
Required
The following question is to give us a better idea on when most students would be available to participate ON WEEKENDS. Please chose the times you feel you would be most available.
What time zone are you in? If you are an International Student please state from where. *
What are some topics/fields (neurology, cardiology, psychology, etc.) you would be interested in learning about? *
Would you be interested in signing up for all panels (read the description at the start of the form) regardless of the topic? *
What are some things you feel we can do to help you learn as much as possible virtually?
Is there anyone you know who would be interested in presenting? We would like to try to collect as many presenters as possible that way we have a large variety of presentations, so please let us know if you think someone could help us out!
If you have any questions fill out the form below! You can also email us at studentsinmedicine.management@gmail.com or dm us on any social media platform!
https://forms.gle/JLy2jHnVzxJiwWzB7
Our main source of updates will be our social media (Instagram, Facebook, Linkedin) so please follow our account in order to receive information about things like when forms are out, what doctors will be presenting, what topics we are covering, etc. Our Instagram is @students.in.medicine.
A copy of your responses will be emailed to the address you provided.
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