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FIX20 Student Ambassador Application
Please submit application by 8/27/2020 by 11:59PM EST for consideration. Thank you!
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* Indicates required question
Email
*
Your email
Full Name
*
Your answer
Medical School
*
Your answer
Year
*
MS1
MS2
MS3
MS4
Preferred Contact Phone Number
*
Your answer
Will you be available for the following (Check all that apply):
*
September 9, 2020 7-8PM EST - Orientation
September 16, 2020 7-8PM EST - Teaching session
October 1, 2020 7-9PM EST - Dress Rehearsal
October 8/9, 2020 - All day EST for the FIX20 conference
Required
If you will be unavailable for any of the above dates or are uncertain about your schedule, please provide explanation below:
*
Your answer
Do you have reliable internet access to act as "host" for a session of the virtual conference?
*
Yes
No
Why do you want to be a FIX20 Student Ambassador? (250 words max)
*
Your answer
Please share anything else you would like us to know during the selection process.
*
Your answer
A copy of your responses will be emailed to the address you provided.
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