AAMC Virtual Medical School Fair

Registration Form

First Name

Last Name

Email Address

Password

Attendee Type

Have you ever participated in a pathway or pipeline program?

Please share the name of the pathway or pipeline program you participated in AND a contact (name and email address) for the program.

MCAT status

When do you plan to apply?

The following three optional questions are for registrants who are over 18 and post-high school. If you are under age 18 and/or in high school, please skip this section. The following questions are voluntary, and the individual responses provided below will not be linked to your identifying information and will only be reported in aggregate.

I am over 18 and post-high school

What best describes your current gender identity?

How do you self-identify? Please check all that apply (If you reside in the European Union, do not answer this question)

In which area did you spend the majority of your life from birth to age eighteen?

Within the United States, what state did you spend the majority of your time in from birth to age 18?

Please select the description that best matches where you spent the majority of your life from birth to age 18:

Do you believe that this area was medically-underserved? (A “medically-underserved” area is defined as one where you believe there was an inadequate number of health care providers to meet the needs of the area, based on your experiences or the experiences of family and friends. Note: health care providers include physicians, nurses, hospitals, clinics, and other health care services.)

Please share any specific questions you would like our presenters to address during the live session, and please indicate the appropriate session for your question in parentheses.

I acknowledge and agree that the AAMC will handle my personal information in accordance with the AAMC Privacy Statement. .

Yes