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  1. University of Arkansas for Medical Sciences
  2. Regional Campuses
  3. Current Students
  4. Conferences
  5. Student Conference Application

Student Conference Application

Student Conference Application

PART 1: APPLICANT INFORMATION

Name(Required)
Address(Required)
Gender(Required)
Race(Required)
Ethnicity(Required)

PART 2: FAMILY/BACKGROUND

Are you the first generation in your family to attend college?(Required)
Have you previously participated in any UAMS pre-health careers programs? (Example: MASH, CHAMPS, MCAT Prep at ASU, Day in the Life, Pre-Professional Advising)(Required)
Have you previously participated in any Regional Campus opportunities? (Example: Rural Student Ambassador, Family Medicine Preceptorship, Service Learning Project, FMIG/RMSLA Officer)(Required)
Are you a member of RMSLA?(Required)
Are you a member of FMIG?(Required)

PART 3: PRACTICE INTENT

How much do you intend, plan, or want to work in primary care?(Required)
How much do you intend, plan, or want to work with patients who are medically underserved?(Required)
How much do you intend, plan, or want to work in a rural area?(Required)

SECTION 4: CONFERENCE SELECTION

Please select the conference(s) in which you are applying to attend.(Required)
University of Arkansas for Medical Sciences LogoUniversity of Arkansas for Medical SciencesUniversity of Arkansas for Medical Sciences
Mailing Address: 4301 West Markham Street, Little Rock, AR 72205
Phone: (501) 686-7000
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