Region 6 APAMSA Registration Form

Filling out this form is mandatory prior to attendance! 

The theme of this year’s conference is “Planting Seeds: Building a Legacy of Future Physicians,” and will be held at UICOM on October 7th, 2023 in Chicago, IL. It features a panel of speakers both within and around medicine, who will provide a platform for conversation on the unique journey and challenges AANHPI medical students face on their path to becoming practicing professionals.

Lunch will be provided at conference, and there will also be opportunities to win swag and gift cards! Stay updated for info regarding speakers and workshops!

We look forward to seeing you all in Chicago! Please feel free to reach out to us at region6@apamsa.org with any questions.

- Region 6 Directors (Christian, Ethan, Vivian, Nick) & VP Membership (Jessica)

Email *
Name *
Current academic institution/school (if none, write "N/A")
 *
E-mail (edu email preferred)
 *
Phone number
 *
Do you have any allergies or dietary restrictions?
 *
What is your current educational status?
 *
Are you interested in attending a post-conference social the night of the conference?
 *
The R6 conference will once again be hosting a physical poster session with judging and awards. Is this something you are interested in participating in? *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of APAMSA. Report Abuse
Google Forms