GSSA General Membership Form
This form will allow you to join our national listserv as a GSSA General Member (including students, residents/trainees*, faculty, and more). We will send out a quarterly newsletter with global surgery events, research opportunities, conferences, updates from different student groups, etc.

*Residents/Trainees, please fill out the form specific to residents/trainees on our website.

If you would like to start a global surgery group at your school or are unsure whether there already is a group at your school, please contact us at We have a toolkit for students who want to start global surgery groups or who are already running groups at their schools.

IMPORTANT NOTE: By signing up to be on the listserv here, you'll be added to a google group, and will get a separate notification of that occurrence.
Sign in to Google to save your progress. Learn more
Your Full Name *
Your Email *
School/Institution *
Degree Program *
Expected Graduation Year *
Write N/A if you are not a student/trainee.
Is there a GSSA chapter or global surgery group at your school? *
Are you a member of that GSSA chapter or global surgery group? *
What medical/surgical specialties are you interested in, training for, or working in? *
Any specialty is relevant to global surgery. We have listed a few here, but if your interest isn't listed, please feel free to specify it in the "other" category. We want to be able to send tailored resources and opportunities to students interested in particular fields.
How can we better serve students and residents/trainees interested in global surgery? What resources would you like to see made available? *
How did you hear about GSSA? *
Any questions, comments, or concerns? Any ideas or plans?
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy