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New Chapter Application Form
This form is for student leaders who are interested in starting a chapter of BMGC at their own campus
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Email
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University Name
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Professions Represented
MD/DO
MPH/MS
Nursing
Business
Other:
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Name and Contact Information of Faculty Advisor
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How many students do you have interested at this time?
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Please tell us a little about yourself and past experiences leading organizations
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A copy of your responses will be emailed to the address you provided.
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