RSVP Medical Students Event PM2024

1. Please provide your full name *This question is required.

2. In what Medical Institution are you currently enrolled? *This question is required.

3. Email at which you wish to be contacted with updates and details of this event? *This question is required. This question requires a valid email address.

4. RSVP reply *This question is required.

I accept invitation and will be attending.
I cannot attend but would like to be included in any future event.
I cannot attend but am interested in Preventive Medicine and Public Health as a potential career path.
I cannot attend.
I am interested in finding out more about ACPM..

5. Name of person to contact in case of an emergency? *This question is required.

6. Phone number of person to contact in case of an emergency *This question is required.