AMSA Member Outreach Request Form
This form serves as an avenue for both AMSA members and outside organizations to request announcements and marketing opportunities. Please provide us with information about your request and you will be contacted shortly. Note that your submission is just a request and additional information will be required.
If you are an existing partner or contracted vendor supplying your pre-approved marketing content, please use our existing Marketing Collateral Submission form at
https://app.smartsheet.com/b/form?EQBCT=b60a897c57fa45649e60016dcfd4792c
.
For information on our wide variety of advertising, sponsorship and event participation, please visit us online at amsa.org/workwithus or contact, Sandy Fridy, Sales Manager, directly at (703) 665-4811 or sfridy@amsa.org.
For website updates, please contact Christine Comizio, Communications Manager, at webmaster@amsa.org.
Please allow 3-5 business days for your request to be reviewed.
CONTACT INFORMATION
Contact name
*
Contact email
*
Company / Organization (if applicable)
Are you an AMSA Member?
*
Yes
No
If so, please specify:
AMSA member, not in a leadership role
AMSA national leader
AMSA local chapter leader
If you are not an AMSA member, please specify your affiliation:
Association
Non-Profit Organization
Corporation
Other
Other
Request type
*
Survey Request
Link Request on AMSA.org
Member Announcement / Invitation
SURVEY REQUEST
AMSA is accepting requests for survey distribution to our members. We will be allowing up to one survey per month, so it is best to plan in advance and submit requests early. This submission does not guarantee delivery, but is a request that will be considered by AMSA. You will contacted directly and informed of the status of this request.
Subject of the survey
Intended audience
Medical Students
Premedical Students
International Medical Students
Other
Other
Is the survey IRB approved?
All survey research involving human subjects requires Institutional Review Board (IRB) approval. That is, if your survey research is a "systematic investigation including research development, testing, and evaluation, designed to develop or contribute to generalizable knowledge ," then IRB approval is necessary.
Yes
No
When would you like this survey distributed?
Hosting organization (content provider)
Hosting organization contact name
Hosting Organization Email
At the bottom of this form, you will have the opportunity to upload attachments. All request must include a copy of the survey.
I have attached a copy survey below.
LINK REQUEST
Suggested link URL
Topic / Focus of the Website
Affiliated organizations associated with this Website
Your suggested location of our site for your link.
Please include the url location of our site you are referring to.
MEMBER ANNOUNCEMENT / INVITATION
An announcement includes promotions of an AMSA initiative, event, webinar, social media post, etc. This submission does not guarantee delivery, but is a request that will be considered by AMSA. You will be contacted directly and informed of the status request.
Who is your target audience?
Medical Students
Premedical Students
International Medical Students
Other (please specify below)
Other
Topic of your announcement:
Announcement Text:
This should be the final edited text to be distributed. Or if you prefer, you may attach the final edited text below.
When your you like this announcement to be sent?
What is the date of the event or deadline?
If your announcement has a deadline, enter the actual deadline here so we'll know when the announcement will expire.
Suggested distribution type
AMSA National Facebook post
Direct email
Weekly Consult
ADDITIONAL COMMENTS & ATTACHMENTS
Additional comments
File Attachments
Please upload any documents associated with your request. Multiple attachments accepted.
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