Location Form
We are trying to improve our website as well as accommodate all students within our program so we are requesting for students to state the city, state in order for us to help plan better.  This information will NOT be released and is only being used for accommodation as well as for website purposes, your name will not be attached to your location anywhere. We are simply asking the name to prevent any repeats in case someone fills out the form twice.  To see what we hope to accomplish click this link:

https://docs.google.com/document/d/1kuQpXJg47DtFpppVo6KXLW5aXS55_G1yNu3jrEKVDM0/edit?usp=sharing 
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Email *
Name *
Location (city, state) *
If you have any questions fill out the form below! You can also email us at studentsinmedicine.management@gmail.com or dm us on any social media platform!
https://forms.gle/JLy2jHnVzxJiwWzB7
Website Picture:
To give an idea of what we are hoping to do with our program is to create a map on our website that looks as so:
https://docs.google.com/document/d/1kuQpXJg47DtFpppVo6KXLW5aXS55_G1yNu3jrEKVDM0/edit?usp=sharing 

As you can see no names are attached this is just for the purpose of aesthetics!
A copy of your responses will be emailed to the address you provided.
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