Proximize Interest Form
Register here to attend Proximize, Proximity's first virtual conference, from September 12th to September 13th. This event will be composed of several keynote speakers, interactive workshops hosted by fellow students, undergraduate student panels, booths from several organizations, competitions, and games! The goal of this event is to connect the next generation of medical enthusiasts with a network of industry professionals and providing them access to knowledge and opportunities!
Email address *
Full Name *
Age as of September 2020 *
Grade as of September 2020 *
What country are you from? *
If you are from the United States, what state are you from? *
Are you interested in attending Proximity's first virtual conference? *
Where did you hear about this conference from? *
If you were referred to by a specific individual, what was their name?
Do you have any questions, comments, or concerns?
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