Regional SIM Challenge Team Application
Teams who want to compete in a regional competition must complete the following:
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Regional Challenge Location (Host School Name) *
Date of Regional Challenge *
MM
/
DD
/
YYYY
Team Medical School/Training Institution *
Team Name *
Full Name and AMSA ID for all Team Members (separate by commas) *
Email Addresses for all Team Members (separate by commas) *
Faculty Advisor Name *
Faculty Advisor Email *
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