VisualDx Student Advisory Board Application 2024-2025
Name
*
First Name
Last Name
Preferred Name
First Name
Last Name
Email
*
Medical School
*
Pronouns
Race/Ethnicity
Year in Medical School for 2024-2025
*
MS1
MS2
MS3
MS4
Other - If you are on a research/PhD/other year, please specify which medical school years you are completing your year in between.
Anticipated Year of Graduation
*
Twitter Handle (optional)
Instagram Handle (optional)
TikTok Handle (optional)
The VisualDx Student Advisory Board is committed to improving patient care and community health outcomes. In less than 1000 characters, please tell us why you are interested in joining the Student Advisory Board.
*
0/1000
The Student Advisory Board will meet six times a year (every other month). Accepted members sign a Memorandum of Understanding (MOU) in which they agree to attend the meetings and complete three projects (creating/reposting social media content, writing articles, and planning and executing an on-site demo of VisualDx). Are you able to dedicate 10 hours per month to these various activities?
*
Yes
No
Please upload your CV.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
SUBMIT
Should be Empty: