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Medicus Application Form '22
Please fill out this form to join Medicus for the 2021-2022 academic year. We are excited to have you join us! Complete this form to be added to our email list! We apologize in advance for the length!
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* Indicates required question
Name
*
Your answer
UIowa Email (
name-name@uiowa.edu
)
*
Your answer
Year in School
*
Freshman
Sophomore
Junior
Senior
Major
*
Your answer
Minor/Certificates
Your answer
Please mark the boxes you will be interested in attending this fall.
*
Volunteer opportunties
Physician speakers
Mentorship program
Med student panels
Writing workshop
Suture clinic
Medical school admission speakers
Medical school visits
Required
Why are you interested in joining Medicus? (2+ sentences)
*
Your answer
What draws you to a career in healthcare? (4+ sentences)
*
Your answer
What do you want out of Medicus this fall? Do you have any ideas to make us better?
Your answer
Thank you again! We can't wait for the semester!
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