AMSA/PSR Earth Day Webinar on Climate Change
Please fill out the following survey if you are able to attend the AMSA/PSR Webinar on Tuesday, April 19, 2016 at 8pm EST.
Sign in to Google to save your progress. Learn more
What is your first and last name? *
What is your email address? *
What is your position? *
Are you attending as an individual or group (e.g. part of a chapter event)? *
How did you hear about this event? *
Would you like to be added to the AMSA Environmental Health listserv to learn more about similar issues? *
Feel free to leave any comments or questions (e.g. questions you hope will be answered during the webinar)
Clear form
Never submit passwords through Google Forms.
This form was created inside of American Medical Student Association. Report Abuse