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GlobeMed Alumni Association Interest Form
All GlobeMed Alumni are automatically part of the GlobeMed Alumni Association, but we want as many people as possible to get involved! Raise your hand saying you want to help out by filling out this form.
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* Indicates required question
Name
*
Your answer
Email
*
Your answer
Phone
*
Your answer
Chapter
*
Your answer
Where do you work/go to school?
Your answer
What is your job title?
Your answer
Does your company match gifts?
Yes
No
Clear selection
Where do you live/intend to live for the foreseeable future?
Your answer
Which working committee of the Alumni Association are you most interested in joining?
*
Fundraising: developing ways to sustainably support the GlobeMed network for the future
Knowledge & Skills-sharing: fostering continued learning and professional development for alumni
Advocacy: developing campaigns for building a more just healthcare system
Student Support: exploring how alumni can support and connect with current GlobeMed chapters
My regional hub (NYC, LA, Boston, DC, Chicago): building community with local alumni
What other working committees are you interested in supporting?
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Fundraising
Professional Development
Advocacy
Student Support
My regional hub (NYC, LA, Boston, DC, Chicago)
Other:
Required
Tell us why (1-2 sentences):
*
Your answer
Level of time commitment you can make available for the GlobeMed Alumni Association
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Little to None
1
2
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8
9
10
Treat Me Like Full Time Staff
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