2017 APAMSA Region I/II Conference Registration
Thank you for your interest in attending the conference! We wanted to collect some information about you as an attendee to better accommodate you while you are at Columbia. Please fill out the form below and let us know if you have any additional questions, comments, or concerns.

APAMSA Regional Directors:
Region I: Rudy Chen (rudy_chen@brown.edu), Tim He (jun_kit_he@brown.edu)
Region II: Jaclyn Chen (jaclyn.chen@stonybrookmedicine.edu), Brian Hsia (bhsia@mail.einstein.yu.edu), Shannon Kiang (shannon_kiang@nymc.edu), Delia Shen (dshen@mail.einstein.yu.edu)

Email address *
Full Name: *
Your answer
Have you paid for your registration fee via PayPal? *
Name of School: *
Your answer
Year: *
If you are traveling to the conference, do you need a place to crash for the night? *
If you are a local student, can you volunteer to host a student? *
I give permission to be included in photos/videos taken at the conference to be shared with speakers, on the conference website, and potentially on promotional materials for future conferences. *
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