GMT @ UCI 2016-2017 General Membership Application
Please fill out and submit this form if you would like to be a member of Global Medical Training at UCI.
Major
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Expected Graduation Date
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Name (Last, First) *
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E-mail *
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How did you hear about GMT? *
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Briefly state why you want to be a member of GMT. *
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What do you hope to gain from your GMT experience? *
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What are some activities/events that you would like to see this year?
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Are you planning on attending the Spring 2017 trip?
Please select your T-shirt size.
Please acknowledge that you are not a member of GMT @ UCI until you have completed the application and paid an annual $30 fee ($40 after Week 8). *
Participation for attendance at events and meetings will not count until you are a member.
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