2022-2023 Molding Doctors Membership/T-Shirt Form

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Hello! Thank you for expressing your interest in Molding Doctors. We are a philanthropy based organization geared towards helping students throughout their pre-health journey in exploring opportunities available to them and gaining valuable insight, advice, and leadership experience.

Benefits to becoming a Molding Doctors Member
- access to the Mailing List, which includes weekly emails containing new and unique volunteering, research, shadowing, and clinical opportunities
- attending Mini Med (clinical lessons taught by local DFW physicians) and special workshops/advice panels
- opportunities for leadership within Molding Doctors via MD Representatives and Fundraising Committee

Please email us at moldingdoctors@gmail.com if you have any questions!

First Name *

Last Name *

Email *

Year *

Freshman

Sophomore

Junior

Senior

Other:

What are you looking forward to learning about in Molding Doctors? *

Volunteering Opportunities

Leadership Experience

Shadowing

Research Experience

MCAT prep

Medical School Applications

Medical School Interviews Prep

Other:

Required

Dues: $12 before September 11; $15 after September 11. Please indicate below how you will be paying *

Venmo: Send to @Molding-Doctors. Please include your full name, email, and what you are paying for in the comments

Zelle: Send to @moldingdoctors@gmail.com. Please include your full name, email, and what you are paying for in the comments.

PayPal: Send to @moldingdoctors@gmail.com. Please include your full name, email, and what you are paying for in the comments.

Cash/Check: contact Vaibhavi/Melaud or pay at any General Meeting/Event (We will have change for cash payments, if needed)

Other:

Please select which size T-Shirt you would like! T-Shirts are $10 each and payment can be done using the above methods *

Small

Medium

Large

I don't want a T-shirt

Any Questions, Comments, or Concerns? *

Submit

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