AMSACon 2021 Post-Convention Manual Vacuum Aspiration (MVA)/ ”Papaya Workshop” Hands on Virtual Skills Session

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

AMSACon 2021 Post-Convention Manual Vacuum Aspiration (MVA)/ ”Papaya Workshop” Hands on Virtual Skills Session - Registration Form

Thank you for your interest in the AMSACon 2021 Post-Convention Manual Vacuum Aspiration (MVA)/ ”Papaya Workshop” Hands on Virtual Skills Session.

This session will be held on Tuesday, March 23 from 7:30 to 9:00pmE. Needed equipment will be shipped to participating students, local papaya purchase is required.

Notes: This FREE hands-on training session is ONLY open to AMSA members who ARE registered for AMSACon 2021 AND are U.S. domestic or international medical students with a U.S. mailing address. (amsaconvention.org/register)

If you have questions please email bmartin@amsa.org

Email *

First Name *

Last Name *

Your School Name, and City, State *

Year in School *

International medical student (with U.S. mailing address)

Confirm AMSA Membership *

Yes, I am a Domestic Medical Student Member

Yes, I am an International Medical Student Member (with U.S. mailing address)

Insert your U.S. mailing address (street address/po box, apt #, city, state, zip code) *

Cell Phone *

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of American Medical Student Association. Report Abuse

Forms