Student Skills Lab Registration IUD Placement Skills Lab: Tuesday, March 11, 2025, 5:00 pm – 6:00 pm.Location: Rahn 3/202 For more information, check the FMIG listserv email or contact JLBursk@uams.edu. Applicant InformationName(Required) First Last Address(Required) Street Address City State / Province / Region ZIP / Postal Code UAMS Email(Required) Phone(Required)I consent to receiving text reminders and communication about this event. Yes No Class(Required) 2026 2027 2028 Veteran Status(Required) Individual is not a Veteran Active Duty Military Reservist Veteran (Prior Service) Veteran (Retired) National Guard Family/BackgroundAre you the first generation in your family to attend college?(Required) Yes No Have your previously participated in any UAMS pre-health careers programs? (Example: MASH, CHAMPS, MCAT Prep at ASU, Day in the Life, Pre-Professional Advising)(Required) Yes No If yes, please list the program(s).(Required)Practice IntentHow much do you intend, plan, or want to work in primary care?(Required) Definitely Probably Maybe Probably Not Not At All How much do you intend, plan, or want to work with patients who are medically underserved?(Required) Definitely Probably Maybe Probably Not Not At All How much do you intend, plan, or want to work in a rural area?(Required) Definitely Probably Maybe Probably Not Not At All
