Student Summit and Field Trip Interest Form Student Summit and Field Trip Interest Form If you are interested in attending the Student Summit and Field Trip on May 4 - 6, 2023, please complete the required fields below.Name(Required) First Last Phone(Required)Email(Required) Class(Required) M1 M2 M3 Have you previously attended a Summit and Field Trip?(Required) Yes No If so, which trip(s) did you attend? Southeast Arkansas Northwest Arkansas Select AllPlease provide input regarding the Summit and Field Trip experience.Physician Panel vs. Table TalksHow do you prefer to hear from physicians about their practices and ask questions? Physician Panel Small Group "Table Talks" Dinner StyleWhat is your preferred dinner style? Sit Down Dinner Informal Buffet Networking TimeIf you have attended a previous Summit and Field Trip, do you desire more unstructured networking time with other students and physicians? Yes No Event StructureIf given the choice, would you choose a combined Summit and Field Trip, or hold them as separate, independent events? Combined Event Separate Events Additional FeedbackPlease provide additional feedback or ideas for future trips.
