2020 National AHEC Organization Conference

2020 National AHEC Organization Conference

  • Part 1: APPLICANT INFORMATION

  • Name
  • Race/ Ethnicity * Required
  • Part 2: ACADEMIC INFORMATION

  • In which institution are you currently enrolled? * Required
  • Discipline/Program enrolled: * Required
  • Date Format: MM slash DD slash YYYY
  • Part 3: FAMILY/BACKGROUND

  • Are/Were you the first generation in your family to attend college? * Required
  • Have you previously participated in any UAMS pre-health careers programs? (For example: MASH, CHAMPS, MCAT Prep @ ASU, Day in the Life, Pre-Professional Advising) * Required
  • Have you previously participated in any Regional Programs opportunities? (For example: MASH assistant, Family Medicine Preceptorship, Summer Service Learning Project) * Required
  • Are you a member of RMSLA? * Required
  • Are you a member of FMIG? * Required
  • Are you currently enrolled in the AHEC Scholars Program? * Required
  • Part 4: INTENT

  • How much do you intend, plan, or want to work in primary care?
  • How much do you intend, plan, or want to work with patients who are medically underserved?
  • How much do you intend, plan, or want to work in a rural area?