UNC AMWHO Regional Summit on Infectious Diseases
Welcome! Registration for the UNC AMWHO Regional Summit on Infectious Diseases is now open!

The conference will take place on Saturday, April 8th from 8:30AM-9PM. Breakfast, lunch, and dinner will be provided. Undergraduate and graduate students of North Carolina universities and colleges are welcome to register! We also welcome high school students who are interested in the field of public health. Participants will be expected to provide their own transportation to Gillings School of Public Health: 135 Dauer Drive, Chapel Hill, NC, 27599. If transportation is an issue, please contact us! Parking permits will be available for those who need them to park on campus.

You will be redirected to a PayPal to pay the registration fee after completing this form! Registration is $20 until March 12th. Late registration after March 12th is $25 until March 26th. Please know that if you don't pay your fee, the form is considered incomplete and you will be unable to attend. Please note that we will refund cancellations until March 25th. After the date, we will no longer refund due to administrative planning. Roles will be assigned and you will be notified.

Event Address: UNC Gillings School of Global Public Health: 135 Dauer Drive, Chapel Hill, NC, 27599
Contact us at amwho@unc.edu for any questions.

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Last Name
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Email
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Phone Number
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Emergency Contact Name and Relationship to you (example: Amanda Lee, mother)
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Emergency Contact Number
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Year in school? (Undergraduate Sophomore or High School Senior or Graduate First Year etc.)
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University/high school affiliation?
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Major/Minor?
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Is this your first time attending AMWHO?
How did you hear about AMWHO? (Facebook, Instagram, social media, friend, department, etc.)
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Do you have any dietary restrictions or health needs? (example: allergic to peanuts, vegetarian, vegan, etc.)
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Select the role you wish to represent throughout the conference (Check all that apply). Check all of the roles you are willing to represent. If you are not partial to any particular role, check all three. Keep in mind, however, that we may not be able to give everyone their first choice, so checking multiple boxes will help us in deciding what roles are best for everyone.
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1. If you selected WHO Ambassador, do you have a specific country you wish to represent? If you want to represent specific countries, please list them in order of preference and provide a brief rationale. If you are okay with representing any country in a specific region, please indicate that and move on to the next question. As certain countries are in high demand, we CANNOT guarantee anyone's top choices.
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2. Why those countries/ Why that country?
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3. If you selected WHO Ambassador, which region would you prefer to represent? (Check all that apply)
4. If you selected NGO representative, which organization would you prefer to represent? (Check all that apply)
5. Other NGO Representative preference: (leave blank if none)
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6. Why specifically those NGO(s)?
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Do you have any experience in the following? (Check all that apply)
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Will you be driving a car? There is free parking on the weekends.
Do you have any questions, comments, or concerns? (If you have one later, please feel free to email us at, amwho@unc.edu.)
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By checking this box you understand that you have to fill out a liability guideline.
You will be redirected to PayPal after submitting this form. By checking this box, you understand that if you do not pay the registration fee, your registration will not be considered complete. ******Please note that the application cost is contingent on the date you make the payment, not the day you submit the registration form.*****
I understand that I will be placed on a waitlist if the registration reaches its capacity.
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