Evolve/Elevate Sponsorship Form

Support AMWA Leadership Development

Thank you for playing a part in accerating leadership advancement to more women physicians. Together, we can drive impactful change in the future of healthcare.
Name*

First NameLast Name
Email*
example@example.com
Institution / Organization*
Share your organizational logo (if Gold, Silver, or Bronze Sponsor)

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Share a link to your website *
Which program are you supporting? (note - Pioneer and Trailblazer Sponsors will be recognized by participants and alumni of both programs. For other sponsor levels, please indicate your prefered target audience.)*

Leadership for women physicians at post-residency career stagesLeadership for residents & fellowsLeadership for all women in medicine
Sponsorship Levels*

LEADERSHIP PROGRAM PIONEER [$10000] - Logo/link on AMWA website. Branded elective on leadership topic. 5-minute on-demand video featuring your services shared with program participants and alumni. Article feature in each issue of AMWA resident newsletter. Dedicated sponsorship slide during each program and alumni session.LEADERSHIP PROGRAM TRAILBLAZER [$5000] - Logo/link on AMWA website. 5-minute on-demand video featuring your services shared with program participants and alumni. Article feature in 2 issues of AMWA resident newsletter. Dedicated sponsorship slide during each program and alumni session.LEADERSHIP PROGRAM CATALYST [$2500] - Name on AMWA website. 3-minute on-demand video featuring your services shared with current participants and alumni after each session. Article featured in 1 issue of AMWA resident newsletter.LEADERSHIP SUPPORTER [$1000] - 3-minute on-demand video link featuring your services will be shared with program participants and alumni in every session follow-up email.Co-branded opportunity [Fee open to discussion] - Sponsor a panel or survey on leadership in medicine.
Blog Post Copy (Max 250 words) Include an image (upload below).
Payment Method
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We prefer payment by ACH or check:

To pay by Check, Select amount and apply Coupon Code: PayByCheck$

Mail your check to: 201 East Main Street, Suite 810, Lexington, Kentucky 40507

Direct questions to: jgodfrey@awma-doc.org
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Support AMWA Leadership Development