Getting Into Medical School:Mission Impossible

Do you want to become a doctor?
Do you want to know what it takes to survive the interview process?

Would you like to get a glimpse into what medical school is really like?

If you answered yes to any of these questions, you should attend the 3rd Annual Pre-Medical Conferece hosted by the Student National Medical Association of the Brody School of Medicine at East Carolina University.

This year's conference will inform and excite you.

New hands on activities have been added!

http://brodysnma.eventbrite.com/

Event Details

Please copy form below and e-mail it to -- LASSITERK10@students.ecu.edu
Registration is due by September 16, 2011

Pre-Medical Student Conference Registration Form

Name:________________________________________________________________

Address:______________________________________________________________

Home Phone Number:________________  Cell Phone Number: ___________________

School: _______________________________________________________________

Organization: ___________________________  Email:___________________________

Check One: High School Student*____ College Student*_____  Advisor_____  Parent ____ Vendor ____

Gender: Male______    Female______    Race/Ethnicity:___________________________

Expected graduation date: __________________

Do you have any special needs for food preparation?   Yes______   No______

If you answered yes to the above question please explain below?

____________________________________________________

____________________________________________________

____________________________________________________

*Complete the emergency contact information below

Emergency Contact:______________________________________________________

Relationship to Student:___________________________________________________

Home Phone Number:____________________  Cell Phone Number:___________________

Participants can pay online or mail their payment to:
Brody SNMA
Academic Support and Enrichment Services
2N64 Brody Medical Sciences Building
Greenville, NC 27834