APSA member application

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Please fill out this google form to become an official member of Temple's American Physician Scientists Association (APSA) club.

Email *

Name? (first and last) *

Grade? *

Freshman

Sophomore

Junior

Senior

Post-bacc

Major? *

What do you intend to do after graduating from Temple? *

Earn an MD/PhD or DO/PhD in a dual-degree program and become a physician-scientist

Earn an MD or DO and work in research while practicing as a clinician

Earn an MD or DO and work only as a clinician

Earn a PhD and work in biomedical research

Unsure at the moment

Other:

Are you interested in becoming an officer of Temple's APSA club? *

Yes

Not sure

(Optional) Do you have any other comments, questions, or suggestions regarding TU APSA? Any comments regarding events or opportunities you would like for us to organize would be greatly appreciated.

Submit

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