SAMSA National Chapter Registration
Registering your South Asian medical student group as a chapter of SAMSA is one way to promote unity within the South Asian community. Become a trail blazer as one of the first chapters to join this national student organization! This will be a means to connect with SAMSA leaders across the country. As a chapter, you will specifically have access to the following:
•Regional and national networking
•Access to the chapter newsletter with more leadership relevant information
•Opportunity to collaborate with other student organizations
•Membership pamphlets for student groups to hand out in the fall
•Tools for increasing advocacy surrounding South Asian specific health issues
•And more! We are continuously working to expand this list!

Sign in to Google to save your progress. Learn more
Requirements
In order to register your chapter your group must:
•Be affiliated with an allopathic or osteopathic program
•Have at least two active student leader members of SAMSA National
•Have a group advisor (If your group does not have an advisor please reach out to us at nationalsamsa@gmail.com)
•Submission of annual Chapter Membership Fees
•Renew your chapter registration on an annual basis to remain active
Application type *
Type of Institution? *
School Name *
School Address *
Chapter Email
South Asian club name (if you have one already)
Would you like to receive the chapter newsletter at this email? *
If you selected no in the previous question please provide an alternative school affiliated email to receive the newsletter
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy