Medicine 2.0’13 London Student Volunteer Program - Application Form for Volunteers
The Medicine 2.0 congress is sponsoring a Student Volunteer Program whereby a limited number of students may receive waived registration for the Medicine 2.0 Congress (this does not include travel, hotel or meals) in exchange for serving as a photographer, coordinator, support person or staff member at the registration desk and presentation sessions, and/or with helping with setup. The program is also open to non-students with special talents.


THE PROGRAM IS _NOT_ OPEN FOR _PRESENTERS_ OR PARTICIPANTS WHO ALREADY REGISTERED.

The Medicine 2.0 congress will be held at the Mermaid conference center in London, Mon-Tue, Sept 23-24th, 2013.

The registration desk will open on Sunday pm, September 22nd, 2013, and much of the work like bag-stuffing will be done on Sunday.

Responsibilities will include:

Helping with bag stuffing (Sunday)
Helping at the registration desk
Taking photographs
Technical assistance for speaker presentations
Assisting with audio visual needs.
Other fun, yet to be determined, activities

In order to qualify for participation in the program, each student volunteer must agree to volunteer a minimum of 10 hours during the conference. It is imperative that each volunteer remain in their designated time slot for the duration of the session.

TRAVEL AND ACCOMMODATION IS THE RESPONSIBILITY OF THE VOLUNTEER.

Please fill out the attached form to apply for a student volunteer position. If you are selected to participate, you will receive an email from the Student Volunteer Coordinator with further information.

A valid credit card may have to be supplied to hold your volunteer position, and if you are not from London we may ask for evidence that you made travel arrangements (hotel reservation, plane ticket). Should you not fufill your commitment, you will be charged the regular student fee ($450). The Student Volunteer Coordinator will notify you before any action is taken.

Special note: while every attempt will be made to accommodate your choices of sessions, we cannot guarantee it. The Student Volunteer Coordinator will contact volunteers 4 weeks before the conference to finalize arrangements.

The deadline for submitting your application is August 24th, 2013 (applications after this date will be considered on a case-by-case basis).

Questions regarding this program should be sent to email contact with the subject: Medicine 2.0 Student Volunteer Question.

So what’s in it for me?

Waived student registration to the #med2 Congress
Networking and contact opportunities with the leaders and VIP’s
Meeting and networking with other students in the field.


You will be notified via email if you have been accepted into the program. Information on selection of sessions will be sent with the acceptance email.

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First name *
Last name *
Medicine 2.0 Username *
(please create an account on http://www.medicine20congress.com if you have no username yet)
School or Fellowship Program attending:
Email address *
Phone number *
Number, Street name *
City *
State/Province
Zip/Postal Code *
Country *
Skills/Availability for volunteering *
1 not at all/no
2
3
4
5 yes/expert
Sunday Setup/Bag Stuffing (11am-5pm)
Monday Reg Desk
Tuesday Reg Desk
PC skills
Mac skills
Video filming skills
Photographer with own camera
Twitter
Blogging
Video editing skills
Audio editing skills
Sunday early registration desk (5-7pm)
Monday AV assistance (sessions)
Tuesday AV assistance (sessions)
Please tell us when/where you would like to volunteer [preferences] (mention if you have special talents)
 PLEASE READ AND ACKNOWLEDGE *
I understand that to participate in the Medicine 2.0 Student Volunteer Program I will be responsible for volunteering for a minimum of 10 hours. I understand that in making the selections for the sessions I will volunteer in it is not guaranteed that I will get my first choices. I understand that I am responsible for arriving at my sessions prior to the session’s start, and/or show up for other assignments/duties. I am responsible for travel and accommodation. I understand the credit card on file will be charged if I do not fulfill my assigned duties or do not show up after I confirmed.
Required
Name on Credit Card *
Credit card may be authorized but not be charged
Credit Card Number *
3-4 digit security code on back of card *
Card Type *
(sorry, no Amex)
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