WCBD Ambassador Sign Up
Sign Up Here to Become a WCBD Ambassador: Host Pre-Med Advising Forums at colleges near your medical school, and talk to undergraduate students of color about the road to medical school.

The WCBD Outreach Coordinator will contact you soon after you submit!

Check out the WCBD Ambassador video here and get ready to make a difference! https://www.whitecoatsblackdoctors.org/wcbd-ambassadors.html 

Sign in to Google to save your progress. Learn more
Full Name *
Email Address *
Full Name of Your Institution *
Your School's City *
Your School's State *
Class Year, Fall 2017 *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms