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2026 Texas Aggie Medical Clinic Application
Thank you for your interest in a Texas Aggie Medical Clinic (TAMC) constructed by BUILD of Texas A&M University-College Station.
To
be considered for a 2026 TAMC, all submissions must be completed and submitted by
April 15, 2026
.
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* Indicates required question
Email
*
Your email
Name of sponsoring US Organization (Please include institution name, and address)
*
Your answer
Name of Contact at Organization
*
Your answer
Email of Contact at Organization
*
Your answer
Type of sponsoring organization:
*
501(c)(3) or other non-profit organization
Church
Other Faith-based organization
Other
If other, please elaborate.
Your answer
Information regarding receiving institution:
*
Please include institution name, website, address, contact name, phone number, and email
Your answer
Receiving facility legal status:
*
Private
Public
Religious
Other
Required
If other, please elaborate.
Your answer
Proposed Clinic Location.
*
City, Country
Your answer
Describe the existing healthcare infrastructure in the area.
*
Your answer
Population served:
*
Total population size, etc.
Your answer
Services to be provided in clinic
*
Your answer
Will the services provided in the clinic be free of charge?
*
Yes
No
If no, please explain what is paid and how the cost is determined.
Your answer
How will the facility be funded?
*
Your answer
Describe the source for the staff of the clinic, quantity of the staff that will work at the clinic and their profession(s).
*
Your answer
3-5 year plan for clinic utilization:
*
Your answer
Are there any specific medical supplies or medications we can provide
that would help serve the population?
*
Your answer
Please name the electrical voltage used in country and any other standards different than United States.
*
Your answer
Desired port of entry:
*
Your answer
Plan for shipping costs funding:
*
Your answer
Describe the process of clearing customs in destination country.
*
Your answer
Questions
Your answer
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