SSA at Penn — Executive Board Application (2026–2027)
The Surgical Students Association (SSA) at Penn is a forming chapter of the American Surgical Students Association for University of Pennsylvania students. University registration is pending — SSA at Penn is not yet a recognized student organization.

Use this form to apply for 2026–2027 executive board and committee positions. Your responses are used only by SSA chapter and national leadership to review applications and contact you about them; they are kept private and are not shared publicly.

Want to found and lead the chapter as President? That is a separate application — use the national Chapter Presidency Application linked in our Instagram bio (@surgicalstudents.penn).

Questions? Email surgicalstudents.penn@gmail.com
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Full name *
University email (@upenn.edu) *
Phone number *
Year *
Which position(s) interest you most? (Select all that apply) *
Required
What is your top-choice position? *
How many hours per week can you realistically commit to this role? *
Briefly describe any relevant experience you may have to your top choice. *
Are you a member of the SSA GroupMe chat? *
Do you follow both the national SSA Instagram (@americansurgicalstudents) as well as the LinkedIn (@American Surgical Students Association)? *
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