ANAMS Membership Application
MEMBERSHIP: Regular Membership

Self-identification as a Native American graduate health professions student or graduate health professions students interested in promoting Native health. Undergraduates not currently accepted into a graduate program for the upcoming academic year do not qualify for regular membership.

STEPS FOR APPLICATION:

1. Please fill out the following application form with the required information.

2. Afterwards, please pay your annual dues via the information provided in the next section.

3. Complete the photograph/video release form.

4. Once complete, you will receive an email confirmation of your membership in the following days from our membership coordinator.
Email address *
Name (Last, First) *
Date of Birth *
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Tribal Affiliation(s) *
U.S. Citizen *
Street Address Line 1 *
Address Line 2
City *
State/Province *
Zip Code *
Professional School *
Name of Professional School Attending *
Expected Graduation Date *
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