LMSA Service Reporting
Hello, LMSA familia!

Please share your community service events with us! Submit this form for each different service activity (one-time service or longitudinal service) that your chapter does throughout the school year. Service can include: (a) community work including free clinics or one-time service events or can include (b) institutional service like leading education initiatives.

You can use the LMSA Service Toolkits on the national website to plan your service events: https://national.lmsa.net/resources/service/ 

We will highlight the three chapters with the most service at the National Conference!

If you have any questions, please contact service@lmsa.net . Please feel free to send pictures of your service event to service@lmsa.net if you are comfortable with us sharing these images on our national website or social media pages. We love to celebrate the great work of our LMSA chapters!

Thank you for all the great work that you do!

Best,

LMSA National Service Chair
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Name *
Email Address *
Your Official Role in your LMSA Chapter: *
Medical School Name: *
What region is your chapter in? (https://national.lmsa.net/about/regions-chapters/) *
What type of service event is this? *
Please give us the name of the event and a short description (up to 5 sentences). *
Number of participants (#) *
FOR A ONE-TIME EVENT: Please provide the number of CUMULATIVE hours for all volunteers. (Ex. Volunteer #1 contributed 3 hours, Volunteer #2 contributed 5 hours, Volunteer #3 contributed 4 hours. Total cumulative: 12 hours)
FOR A LONGITUDINAL EVENT: Please provide the number of CUMULATIVE monthly hours for all volunteers.
Date of service event (If the event occurred over multiple dates, please submit the first date.) *
MM
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DD
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YYYY
On the LMSA service website (https://national.lmsa.net/resources/service/), there are Service Toolkits listed to streamline service event planning. Did you use an LMSA Service Toolkit to plan your event? *
If you used the LMSA Service Toolkits, please mark the ones you used. *
Required
If you did not use the LMSA Service Toolkits, please let us know why not:
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Please share any difficulties that you had in planning this event. *
Please share pictures of your service event at service@lmsa.net if you are comfortable with us sharing these images on our national website or social media pages. We love to celebrate the great work of our LMSA chapters!
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OPTIONAL: Please share an idea for a service project(s) that you would like to see a toolkit developed for.  Example: Healthcare Service for Patients Experiencing Homelessness
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