American Medical Student Association

PreMedical Chapter

University of New Mexico

Name :

Major(s) & Minor(s) :

Graduation Date :

Email Address :

Phone number :

Mailing Address :

List several health care issues that you are interested in, are concerned about, etc .:

What types of meetings/events/activities would you like to see from AMSA? Be as general or as specific as you wish.

Local dues are $10/year. This includes access to our volunteer program (shadowing, tutoring/mentoring high school students, etc.), our physician advisor, medical school/MCAT prep books, and an awesome UNM AMSA T-shirt!

Please submit your application to us by:

1) Bringing it to our office in the Student Union Building, Lobo Lair Room 1025

OR

2) Mailing it to:

1 University of New Mexico

AMSA PreMed

1018 Student Union, Student Activities Center Box #132

MSC03 2210

Albuquerque, NM 87131