2018 Pre-Medical Youth Conference Application
In order to better serve you, please fill out the following form to apply for this event. Due to a limited number of seats, please put careful consideration into your application. This Youth Conference will be completely FREE of charge. A complimentary lunch and snack will be provided throughout the day.
The deadline to apply is March 18, 2018 at 11:59PM (PST).

Event: Pre-Medical Youth Conference hosted by Phi Delta Epsilon at UC Davis
Location: Giedt Hall at UC Davis (On Bioletti Way via Hutchison Drive)
Date: April 14th, 2018
Time: 9:00AM - 4:30PM

After your application is received and accepted, we will confirm your spot directly via e-mail if there are still available seats. The e-mail will contain further information regarding your attendance to the Youth Conference and will include the required Waiver of Liability and emergency contact information forms. Due to the high number of applicants, you will be put on the waitlist and will be notified if you are accepted to attend PMYC.

You will not be admitted to the conference if you do not bring your signed waiver and emergency contact form with you.

If there are any questions or concerns, please contact our director, Siddharth Selvakumar (sselvakumar@ucdavis.edu), or email the PMYC team (pmycatucd@gmail.com).

Check out our event page for updates, teasers to our speakers and workshops, and more:

https://www.facebook.com/events/1609713379110236/

Email address *
Full Name (First Last)
Any parents or guardians attending?
High School, City
High School Graduation Year
Phone Number
What is your current career goal and why? (150-250 words)
Why are you interested in this event? What do you hope to learn? (150-250 words)
How did you hear about PMYC?
Additional Information (Use this space to include anything else that you would like us to know)
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of UC Davis. - Terms of Service