Chapter Application Form
Please fill out this form to apply to form an iCure chapter at your school/university.
Email *
What is your name? *
Tell us a little bit about yourself *
Chapter Location? Where are you located? (University, City, State, and Country) *
What is your email address? (Your college/school email address is preferred as proof of evidence.) *
What is your position at your college/school? Ex: Freshman, sophomore, etc. *
What is your history? Where do you come from, what is your education background (high school, middle school.etc) *
Why do you think your a fit to be a chapter president? *
How do you think you can support iCure? What experiences do you have? *
Have you read the documents on how you will create a chapter? *
Any Questions you have about iCure or it's mission? *
Sign here if you agree not to do anything illegal, unethical or immoral. *
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