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.
Expected Graduation Date
Name (Last, First)
How did you hear about GMT?
Briefly state why you want to be a member of GMT.
What do you hope to gain from your GMT experience?
What are some activities/events that you would like to see this year?
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.
I acknowledge that I must submit this application and the fee in order to be recognized as a general member.
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