AMA Section Involvement Grant Recap Form
General Information
First Name
*
Last Name
*
Email
*
example@example.com
Mobile Number
*
-
Area Code
Phone Number
Student Outreach Manager
*
Alyssa Szynal
Chelsea Saurer
School Information
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Select the school in Alabama where you are enrolled.
*
Alabama College of Osteopathic Medicine
Edward Via College of Osteopathic Medicine
University of Alabama School of Medicine
University of South Alabama College of Medicine
Select the school in Arizona where you are enrolled.
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A T Still University College of Osteopathic Medicine
Creighton University School of Medicine - Phoenix
Mayo Medical School at Phoenix
Mayo Medical School at Scottsdale
Midwestern University-Arizona College of Osteopathic Medicine
University of Arizona College of Medicine
University of Arizona College of Medicine-Phoenix
Select the school in Arkansas where you are enrolled.
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Arkansas College of Osteopathic Medicine
New York Institute of Technology College of Osteo Med at Arkansas State
University of Arkansas for Medical Sciences College of Medicine
Select the school in California where you are enrolled.
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California Health Sciences University College of Osteopathic Medicine
California Northstate University College of Medicine
California University of Science and Medicine - School of Medicine
Charles R. Drew University of Medicine and Science College of Medicine
David Geffen School of Medicine at UCLA
Kaiser Permanente School of Medicine
Keck School of Medicine of the University of Southern California
Loma Linda University School of Medicine
Stanford University School of Medicine
Touro University California College of Osteopathic Medicine
University of California Davis School of Medicine
University of California Irvine College of Medicine
University of California San Diego School of Medicine
University of California San Francisco School of Medicine
University of California-Riverside School of Medicine
Western Univ Health Sci College of Osteopathic Medicine of the Pacific
Select the school in Colorado where you are enrolled.
*
Rocky Vista University College of Osteopathic Medicine
University of Colorado School of Medicine
Select the school in Connecticut where you are enrolled.
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Frank H Netter MD School of Medicine at Quinnipiac University
University of Connecticut School of Medicine
Yale University School of Medicine
Select the school in District of Columbia where you are enrolled.
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Georgetown University School of Medicine
George Washington University School of Medicine & Health Sciences
Howard University College of Medicine
Select the school in Florida where you are enrolled.
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Charles E Schmidt College of Medicine at Florida Atlantic University
FIU Herbert Wertheim College of Medicine
Florida State University College of Medicine
Lake Erie College of Osteopathic Medicine Bradenton Campus
Nova Southeastern University College of Allopathic Medicine
Nova Southeastern University College of Osteopathic
Nova Southeastern University College of Osteopathic - Tampa Bay Regional Campus
Orlando College of Osteopathic Medicine
University of Central Florida College of Medicine
University of Florida College of Medicine
University of Miami Leonard M Miller School of Medicine
University of South Florida Health Morsani College of Medicine
Select the school in Georgia where you are enrolled.
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Emory University School of Medicine
Mercer University School of Medicine
Morehouse School of Medicine
Philadelphia College of Osteopathic Medicine Georgia
The Medical College of Georgia at Augusta University
Select the school in Hawaii where you are enrolled.
*
University of Hawaii at Manoa
Select the school in Idaho where you are enrolled.
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Idaho College of Osteopathic Medicine
University of Washington School of Medicine-Moscow
Select the school in Illinois where you are enrolled.
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Carle Illinois College of Medicine
Chicago Medical School at Rosalind Franklin University-Medicine & Sciences
Loyola University of Chicago Stritch School of Medicine
Midwestern University-Chicago College of Osteopathic Medicine
Northwestern University
Rush Medical College of Rush University Medical Center
Southern Illinois University School of Medicine
Southern Illinois University School of Medicine at Carbondale
Univ of Chicago Division of Biological Sciences Pritzker School of Medicine
University of Illinois at Chicago College of Medicine
University of Illinois at Chicago College of Medicine at Peoria
Select the school in Indiana where you are enrolled.
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Indiana University School of Medicine
Marian University's Tom and Julie Wood College of Osteopathic Medicine
Select the school in Iowa where you are enrolled.
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Des Moines University College of Osteopathic Medicine
University of Iowa
Select the school in Kansas where you are enrolled.
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Kansas Health Center at Kansas College of Osteo Med
University of Kansas School of Medicine
Select the school in Kentucky where you are enrolled.
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University of Kentucky College of Medicine
University of Louisville School of Medicine
University of Pikeville - Kentucky College of Osteopathic Medicine
Select the school in Louisiana where you are enrolled.
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Edward Via College of Osteopathic Medicine - Monroe
Louisiana State University School of Medicine In New Orleans
Louisiana State University School of Medicine In Shreveport
Tulane University School of Medicine
Select the school in Maine where you are enrolled.
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University of New England College of Osteopathic Medicine
Select the school in Maryland where you are enrolled.
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Johns Hopkins University School of Medicine
Uniformed Services Univ of the Health Sciences F E Hebert Schl of Medicine
University of Maryland School of Medicine
Select the school in Massachusetts where you are enrolled.
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Boston University School of Medicine
Harvard Medical School
Tufts University School of Medicine
University of Massachusetts Medical School
Select the school in Michigan where you are enrolled.
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Central Michigan University College of Medicine
Michigan State University College of Human Medicine
Michigan State University College of Human Med-Grand Rapids
Michigan State University College of Osteopathic Medicine
Michigan State University College of Osteo Medicine-Detroit Medical Center
Michigan State University College of Osteopathic Medicine-Macomb University
Oakland University William Beaumont School of Medicine
University of Michigan Medical School
Wayne State University School of Medicine
Western Michigan University Homer Stryker MD School of Medicine
Select the school in Minnesota where you are enrolled.
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Mayo Clinic Alix School of Medicine-Rochester
University of Minnesota Medical School
University of Minnesota Medical School-Duluth
Select the school in Mississippi where you are enrolled.
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University of Mississippi School of Medicine
William Carey University College of Osteopathic Medicine
Select the school in Missouri where you are enrolled.
*
A T Still University Kirksville College of Osteopathic Medicine
Kansas City University of Medicine & Bioscience College of Osteopathic Med
St Louis University School of Medicine
University of Missouri Columbia School of Medicine
University of Missouri-Kansas City School of Medicine
Washington University in St Louis School of Medicine
Select the school in Montana where you are enrolled
Please Select
Rocky Vista University College of Osteopathic Medicine - Montana
University of Washington School of Medicine-Bozeman
Select the school in Nebraska where you are enrolled.
*
Creighton University School of Medicine
University of Nebraska College of Medicine
Select the school in Nevada where you are enrolled.
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Touro University Nevada College of Osteopathic Medicine
University of Nevada School of Medicine
University of Nevada, Las Vegas School of Medicine
Select the school in New Hampshire where you are enrolled.
*
Geisel School of Medicine at Dartmouth
Select the school in New Jersey where you are enrolled.
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Cooper Medical School of Rowan University
Hackensack-Meridian School of Medicine at Seton Hall University
Rowan University School of Osteopathic Medicine
Rutgers New Jersey Medical School
Rutgers Robert Wood Johnson Medical School
Select the school in New Mexico where you are enrolled.
*
Burrell College of Osteopathic Medicine
University of New Mexico School of Medicine
Select the school in New York where you are enrolled.
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Albany Medical College
Albert Einstein College of Medicine of Yeshiva University
Columbia University College of Physicians & Surgeons
CUNY School of Medicine
Donald and Barbara Zucker School of Medicine at Hofstra/Northwell
Icahn School of Medicine at Mount Sinai
Jacobs School of Medicine & Biomedical Sciences at the Univ of Buffalo
Lake Erie College of Osteopathic Medicine - Elmira
New York Institute of Technology College of Osteopathic Medicine
New York Medical College
New York University Long Island School of Medicine
New York University School of Medicine
Renaissance School of Medicine at Stony Brook University
SUNY Downstate Medical Center College of Medicine
SUNY Upstate Medical University College of Medicine
Touro New York College of Osteopathic Medicine
Touro New York College of Osteopathic Medicine - Middletown
University of Rochester School of Medicine & Dentistry
Weill Cornell Medical College
Select the school in North Carolina where you are enrolled.
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The Brody School of Medicine at East Carolina University
Campbell University Jerry M Wallace School of Osteopathic Medicine
Duke University School of Medicine
University of North Carolina at Chapel Hill School of Medicine
Wake Forest School of Medicine
Select the school in North Dakota where you are enrolled.
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University of North Dakota School of Medicine & Health Sciences
Select the school in Ohio where you are enrolled.
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Case Western Reserve University School of Medicine
Cleveland Clinic Lerner College of Medicine
Northeast Ohio Medical University
Ohio State University College of Medicine & Public Health
Ohio University College of Osteopathic Medicine
University of Cincinnati College of Medicine
University of Toledo College of Medicine
Wright State University Boonshoft School of Medicine
Select the school in Oklahoma where you are enrolled.
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Oklahoma State Univ Center for Health Sciences College of Osteopathic Med
Oklahoma State Univ Center for Health Sciences College of Osteopathic Med at the Cherokee Nation
University of Oklahoma College of Medicine
Select the school in Oregon where you are enrolled.
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Oregon Health & Science University School of Medicine
Western Univ Health Sci College of Osteopathic Med of the Pacific Northwest
Select the school in Pennsylvania where you are enrolled.
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Drexel University College of Medicine
Duquesne University College of Osteopathic Medicine
Geisinger Commonwealth School of Medicine
Lake Erie College of Osteopathic Medicine
Lake Erie College of Osteopathic Medicine - Seton Hill
Lewis Katz School of Medicine at Temple University
Pennsylvania State University College of Medicine
Perelman School of Medicine at University of Pennsylvania
Philadelphia College of Osteopathic Medicine
Sidney Kimmel Medical College at Thomas Jefferson University
University of Pittsburgh School of Medicine
Select the school in Puerto Rico where you are enrolled.
*
Ponce School of Medicine
San Juan Bautista School of Medicine
University Central Del Caribe School of Medicine
University of Puerto Rico School of Medicine
Select the school in Rhode Island where you are enrolled.
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Warren Alpert Medical School of Brown University
Select the school in South Carolina where you are enrolled.
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Medical University of South Carolina College of Medicine
University of South Carolina School of Medicine Columbia
University of South Carolina School of Medicine Greenville
Edward Via Carolinas College of Osteopathic Medicine
Select the school in South Dakota where you are enrolled
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Sanford School of Medicine of the University of South Dakota
Select the school in Tennessee where you are enrolled.
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Baptist Health Sciences University College of Osteopathic Medicine
East Tennessee State University J H Quillen College of Medicine
Lincoln Memorial University Debusk College of Osteopathic Medicine
Lincoln Memorial University Debusk College of Osteopathic Medicine - Knoxville
Meharry Medical College School of Medicine
Thomas F. Frist Jr. College of Medicine at Belmont University
University of Tennessee Health Science Center College of Medicine
Vanderbilt University School of Medicine
Select the school in Texas where you are enrolled.
*
Anne Burnett Marion School of Medicine at TCU
Baylor College of Medicine
Joe R & Theresa Lozano Long School of Medicine - University of Texas San Antonio
McGovern Medical School at the Univ of Texas Health Science Ctr at Houston
Paul L Foster School of Medicine Texas Tech University
Sam Houston State University College of Osteopathic Medicine
Texas A&M University System Health Science Center College of Medicine
Texas Tech University Health Science Center School of Medicine
University of Houston College of Medicine
University of the Incarnate School of Osteopathic Medicine
Univ of North Texas Health Science Center Texas College of Osteopathic Med
University of Texas at Austin Dell Medical School
University of Texas Medical Branch at Galveston
University of Texas Rio Grande Valley School of Medicine
University of Texas Southwestern Medical Center Southwestern Medical School
University of Texas at Tyler School of Medicine
Select the school in Utah where you are enrolled.
*
Noorda College of Osteopathic Medicine
Rocky Vista University College of Osteopathic Medicine - Utah
University of Utah School of Medicine
Select the school in Vermont where you are enrolled.
*
University of Vermont College of Medicine
Select the school in Virginia where you are enrolled.
*
Edward Via Virginia College of Osteopathic Medicine
Eastern Virginia Medical School
Liberty University College of Osteopathic Medicine
University of Virginia School of Medicine
Virginia Commonwealth University School of Medicine
Virginia Tech Carilion School of Medicine
Select the school in Washington where you are enrolled.
*
Pacific Northwest University of Health Science College of Osteopathic Med
University of Washington School of Medicine
Washington State University Elson S. Floyd College of Medicine
Select the school in West Virginia where you are enrolled.
*
Joan C Edwards School of Medicine at Marshall University
West Virginia School of Osteopathic Medicine
West Virginia University School of Medicine
Select the school in Wisconsin where you are enrolled.
*
Medical College of Wisconsin
Medical College of Wisconsin at Central Wisconsin
University of Wisconsin Medicine at Lacrosse
University of Wisconsin Medicine at Milwaukee
University of Wisconsin School of Medicine & Public Health
Year
*
M1
M2
M3
M4
Other
Activity Recap
Please confirm your check was received
Please Select
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No
Type
*
Recruitment
Engagement
Community Service
Travel
Activity Title
*
Date of event or End date of activity/project
*
-
Month
-
Day
Year
Date
Location
*
Please provide a detailed recap:
*
Please attach photos of the event:
Browse Files
.jpeg, .png, etc.
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Audience
How many students attended the event?
number should match attendee list
How many students signed up for AMA membership at the event?
Please attach a sign-in sheet (.xls, .xlsv, or .csv) of the students who participated in the activity. The typed sign-in sheet should include full name and email addresses. Be sure to password protect this file! Then email the password to this file to studentops@ama-assn.org
*
Browse Files
*We process data received on the legal basis of AMA’s legitimate interests in providing our services, websites, apps and their functionality.
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Attendee lists should also be uploaded to the MSOP Dashboard to document your local campus section's engagement and recruitment efforts. Has your campus section's Outreach Leader uploaded the list from this event to the MSOP Dashboard?
*
Yes
No
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Thank you for completing an AMA Section Involvement Grant (SIG) Recap. By completing this form, you’re helping us to learn more about the outreach activities that have been most effective. The content shared in this form may be used for future presentations, recommendations to other students, and other MSOP materials. If you have any questions, please contact MSSIG@ama-assn.org.
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