AMSA Academy Student Facilitator Application

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AMSA Academy Student Facilitator Application - Fall 2021

Thank you for your interest in serving as a Program Facilitator for an AMSA Fall 2021 Reproductive Health or AMSA Academy Leadership Program. Please complete the form below and staff will follow-up with you directly.

Our Fall 2021 Academy Leadership Programs will meet virtually every other week for 90-minute sessions from September to December (program schedules will be released when registration opens in July).

Program Facilitators will work with the AMSA Academy to engage participants and host program sessions throughout the program series. Each dynamic session will include a presentation from key thought leaders in their fields and engaging Q/A with the speaker(s), followed by supportive, interactive group debrief and discussion. Estimated time commitment = 2 hours per session during the program offering. Students can choose to help facilitate one or more sessions throughout the series.

Note: This leadership opportunity is open to AMSA members who are U.S. domestic or IMG medical students.

If you have questions please email tasha.phillips-wilson@amsa.org

Email *

First Name *

Last Name *

Your School Name, and City, State *

Year in School *

Confirm AMSA Membership *

Yes, I am a Domestic Medical Student Member

Yes, I am a IMG Medical Student Member

Please mark the program(s) you are interested in, and available to serve as a Fall 2021 Program Facilitator *

Reproductive Justice Leadership Program

Medical Ethics in Reproductive Health Leadership Program

Career Pathways in Family Planning Leadership Program

IMG Series

Residency Prep Series

AMSA Leadership Program

Specialty Showcase Series

Life and Leadership Program

Required

Please list the previous AMSA Reproductive Health Project program(s) you participated in: *

Please list any prior related experience and why you are interested in serving as a Program Facilitator for your chosen program(s). 250 word limit *

Cell Phone *

Submit

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