Medical Student Representative Application
Please complete all three sections to apply for the role of medical student representative role on ASiT Council. Details of the role can be found on the ASiT website (www.asit.org).
DEADLINE: 10th July 2021
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Background Details
Please note you must be an ASiT member to apply for this role
ASiT Membership Number: *
Full name: *
Year of study: *
University: *
Anticipated year of graduation: *
Email address: *
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