Medical Student Council Application Form

Are you an EMRA member?

-- Select an option --

Are you available to attend the CORD Annual Meeting in April and ACEP's Scientific Assembly in September (to the best of your knowledge)?

Yes

No

Position you are applying for:

-- Select an option --

Will you serve in a different capacity if you are not chosen for the position to which you are applying:

Yes

No

Below please upload the following documents: Letter of Intent, CV and a Letter of Support (recommended but not required) from an EM faculty member, Resident, Medical School Dean or Student Affairs Official