Student Committee Application

Thank you for your interest in becoming a committee member. Serving on a committee is an excellent opportunity to develop leadership skills, collaborate with peers and contribute to the growth and mission of Expert Education Institute. Please complete the form below to apply. Fields marked with an asterisk (*) are required.

Personal Information

Name *

Preferred Name:

Email Address *

Phone Number *

Medical School *

Expected Graduation Year *

Current Academic Year *

Committee Interest

Which committee(s) are you interested in joining? (Select all that apply)UltrasoundFEST CommitteeSocial Media CommitteeMembership CommitteeMentorship CommitteeWebsite Committee

What motivates you to join this/these committee(s)?

Skills and Experience

Do you have any relevant experience, skills, or interests that would benefit the committee(s) you selected?

Have you served on a committee or in a leadership role before? If yes, please describe your experience.

Commitment

How many hours per month can you dedicate to committee work?1-3 hours4-6 hours7-10 hours10+ hours

Are you comfortable attending regular virtual meetings and collaborating with fellow committee members?YesNo

References (Optional)

If you have a mentor, advisor, or professor who supports your application, feel free to provide their contact information.

Name

Email Address

Relationship

Terms and Agreement

Consent *

By submitting this application, I understand that selection to a committee is not guaranteed and is based on availability and fit. If selected, I agree to actively participate and contribute to the goals of the committee(s) I join.

Please submit this form by January 31, 2025. Selected applicants will be notified via email. For questions or additional information, contact Stephanie Henley at [email protected].

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