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AMIA 2021 Annual Symposium Student Volunteer Application
1.
Full name
2.
Email address
3.
School or Fellowship Program attending
4.
Are you a current AMIA Student Member? (You must be a current AMIA member in order to qualify for participation in this program)
Yes
No
5.
Have you ever been an AMIA student volunteer before?
Yes
No
6.
Are you an author or presenter at the AMIA 2021 Annual Symposium?
Yes
No
7.
Is your academic informatics program supporting your travel and lodging?
Fully
Partially
Not at all
8.
Do you have other funding to support travel and lodging?
Yes
No
Not sure
9.
Please describe why you want to be a student volunteer and how being selected would help you attend the AMIA conference.
10.
PLEASE READ AND ACKNOWLEDGE
I understand that to participate in the AMIA Student Volunteer Program I will be responsible for monitoring 6 session slots at the AMIA 2021 Annual Symposium. I understand that in making the selections for the sessions I will monitor, it is not guaranteed that I will get my top choices.
Agree
Disagree
11.
Acknowledge: I have read and understand the requirements stated above.
Yes
No