Chapter Charter Application


We, the chapter officers (listed below), petition the American Medical Student Association (AMSA) to establish at our school a student chapter to be formally recognized by AMSA. We certify that we and our members are enrolled as students at the school stated below. We recognize AMSA as a professional national organization designed to address the personal and social concerns of physicians-in-training at any level. Therefore, we are forming this chapter with the intention of upholding AMSA's mission: to offer soon-to-be physicians important non-traditional learning experiences, which will serve to supplement their professional training.

We further certify that the student chapter of AMSA will be established and will function according to the Constitution, Bylaws, Structure, Functions and Internal Policy; and Preamble, Purposes and Principles of AMSA. We finally certify that an appropriate representative at our school has given approval for the establishment of our chapter of AMSA.




















Please provide the name, AMSA ID, and email for each of your local chapter officers. Local officers must be members of National AMSA in order to be recognized.




















You need at least 5 medical/premedical active students who are national AMSA members at your chapter in order to petition for chapter status. These 5 members can also be your local chapter officers listed above.


Please include the name, AMSA ID, and email.


Please include the name, AMSA ID, and email.


Please include the name, AMSA ID, and email.


Please include the name, AMSA ID, and email.


Please include the name, AMSA ID, and email.


Please include the name, AMSA ID, and email for any additional members.










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