AMA Section Involvement Grant Recap

AMA Section Involvement Grant Recap Form
General Information
First Name
Last Name
Email
example@example.com
Mobile Number

Area CodePhone Number
Student Outreach Manager
School Information
State
Select the school in Alabama where you are enrolled.
Select the school in Arizona where you are enrolled.
Select the school in Arkansas where you are enrolled.
Select the school in California where you are enrolled.
Select the school in Colorado where you are enrolled.
Select the school in Connecticut where you are enrolled.
Select the school in District of Columbia where you are enrolled.
Select the school in Florida where you are enrolled.
Select the school in Georgia where you are enrolled.
Select the school in Hawaii where you are enrolled.
Select the school in Idaho where you are enrolled.
Select the school in Illinois where you are enrolled.
Select the school in Indiana where you are enrolled.
Select the school in Iowa where you are enrolled.
Select the school in Kansas where you are enrolled.
Select the school in Kentucky where you are enrolled.
Select the school in Louisiana where you are enrolled.
Select the school in Maine where you are enrolled.
Select the school in Maryland where you are enrolled.
Select the school in Massachusetts where you are enrolled.
Select the school in Michigan where you are enrolled.
Select the school in Minnesota where you are enrolled.
Select the school in Mississippi where you are enrolled.
Select the school in Missouri where you are enrolled.
Select the school in Montana where you are enrolled
Select the school in Nebraska where you are enrolled.
Select the school in Nevada where you are enrolled.
Select the school in New Hampshire where you are enrolled.
Select the school in New Jersey where you are enrolled.
Select the school in New Mexico where you are enrolled.
Select the school in New York where you are enrolled.
Select the school in North Carolina where you are enrolled.
Select the school in North Dakota where you are enrolled.
Select the school in Ohio where you are enrolled.
Select the school in Oklahoma where you are enrolled.
Select the school in Oregon where you are enrolled.
Select the school in Pennsylvania where you are enrolled.
Select the school in Puerto Rico where you are enrolled.
Select the school in Rhode Island where you are enrolled.
Select the school in South Carolina where you are enrolled.
Select the school in South Dakota where you are enrolled
Select the school in Tennessee where you are enrolled.
Select the school in Texas where you are enrolled.
Select the school in Utah where you are enrolled.
Select the school in Vermont where you are enrolled.
Select the school in Virginia where you are enrolled.
Select the school in Washington where you are enrolled.
Select the school in West Virginia where you are enrolled.
Select the school in Wisconsin where you are enrolled.
Year
Activity Recap
Please confirm your check was received
Type
Activity Title
Date of event or End date of activity/project

MonthDayYear
Date
Location
Please provide a detailed recap:
Please share a quote/feedback from your event that we can share with AMA staff, other students, and your faculty advisor:
Please attach photos of the event:

Browse Files
.jpeg, .png, etc. Cancelof
Audience
How many students attended the event?
number should match attendee list
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. Cancelof
How many students signed up for AMA membership at the event?
To document your local campus section's recruitment efforts, attendee lists should also be uploaded to the MSOP Dashboard. Your Outreach Leader can use the "Invite Students" feature in the MSOP Dashboard to invite students who attended this event and expressed an interested in learning more about the AMA and receiving emails to join the AMA. More information is available on our website.

Note: If your local campus section recruits students to sign up for membership through a state medical society, or if memberships are sponsored by your school, the MSOP Dashboard "Invite Students" feature should not be used.

If you are unsure whether your local campus section should upload to the MSOP Dashboard, please email our team at studentops@ama-assn.org.
Has your campus section's Outreach Leader uploaded the list from this event to the MSOP Dashboard?
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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AMA Section Involvement Grant Recap Form

General Information

School Information

Activity Recap

Audience