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SJSU Pre Physician Assistant Society Application
*Note: To be considered an active member, you must: submit an application, pay the one-time $25 membership fee, and attend at least 2 club events a semester. You may pay the membership fee of $25 during the next club meeting or via venmo @SJSUPrePA. Meeting schedule is located on our website. Reminders are also on our instagram.
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Name
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Student ID #
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Phone number
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Email
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Expected graduation date
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Major, minor
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Are you currently active in other on-campus organization(s)? If yes, list them:
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Do you have any prior clinical experience? If yes, include organization/company: (Ex: Hospital volunteer, EMT, etc.)
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How did you hear about the Pre-Physician Assistant Society?
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What do you hope to gain from joining our society?:
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Please list your T-shirt size.:
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List any questions, comments, or concerns here:
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