Southern California Medical Student Summit hosted by SNMA at USC Keck School of Medicine - Exhibitor & Sponsor Registration Form
Thank you for your interest in sponsoring the Southern California Medical Student Summit hosted by the SNMA Chapter at USC Keck School of Medicine
The summit will feature opportunities for medical students to connect with residency programs, engage in a community health event, present at the research symposium, and learn for workshops centered on specific topics pertinent to advancing Black health equity. Please refer to our Prospectus (LINK HERE) to learn about our different Exhibitor Tiers and Sponsorship Opportunities. Once you have selected the opportunity that best aligns with your organization's goals: 1) Complete this form 2) After receiving an invoice to the provided email, complete your payment. Payment must be received by August 31st, 2027. For help with this process, please do not hesitate to reach out to socalmedicalstudentsummit@gmail.com.
Organization Name
*
Type of Organization
*
Residency Program
Corporate Partners
Community Organization / 501c3
Other
If Selected Other, Please Share Type of Organization
Please include type of residency program below (If Applicable).
Contact Full Name
*
First Name
Last Name
Contact Email
*
example@example.com
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Full Name and Email of the person receiving invoice (if different than contact person above) - The generated invoice will be sent to this email.
Organization Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you plan to join us as an Exhibitor or Sponsor?
Exhibitor - $750
Sponsor - View Sponsorship Tiers Below
Please select your desired Sponsorship Opportunity (If Applicable)
Platinum - $10,000
Gold - $7,500
Silver - $5,000
Bronze - $2,500
Honorable Mention - $1,000
If unable provide payment via check, please specify below:
Do you have any additional comments or questions?
Submit
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