AMSA National Leadership Interest Form

AMSA National Leadership Interest Form

Thank you for your interest in serving as a national leader with the American Medical Student Association (AMSA)! National leadership is an opportunity to help shape the future of medicine, advocate for key issues, and work alongside passionate peers from across the country. As a national leader, you’ll contribute to AMSA’s mission, strengthen your leadership skills, and gain valuable experience in professional development, advocacy, programming, and community engagement.

All applicants must be current AMSA members in good standing to be eligible for consideration.

We’re excited to learn more about you and how you’d like to get involved! Please complete the form below to help us better understand your interests, experiences, and the strengths you’d bring to AMSA’s national team.

Applicant / Member Information

AMSA ID Number*

Please note: Only AMSA members are eligible to serve in national leadership roles.

Membership will be verified.

If you do not know your AMSA ID number, visit https://www.amsa.org/get-amsa-id/ or contact the membership department at members@amsa.org.

If you are not a member, visit amsa.org/join to sign up.

First Name*

Last Name*

Email Address*

Phone Number

Phone

Describe your stage of training:*

Select or enter value

School*

Your anticipated graduation year:*

Position(s) of Interest

Why are you interested in this/these position(s)?*

Attachments needed to complete application

Past Leadership Experience*

To help us better understand your past leadership experience (if any), please share a copy of your CV/Resume

Drag and drop files here or

Send me a copy of my responses

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