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First Name
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Last Name
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Email
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Whatsapp Phone Number
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Citizenship
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University Name
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University Year
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If you are currently in medical school, please let us know what year you are in. If you have already graduated, please include your graduation date.
Of the options below, what kind of AMO Ambassador would you like to be?
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Brand Ambassadors
primarily represent AMO on social media, via email, and by hosting virtual office hours.
Campus Ambassadors
represent AMO on their college campus.
Brand Ambassador
Campus Ambassador
Both Brand and Campus Ambassador
If you would like to be a Brand Ambassador, please provide your username(s) for Twitter and Instagram:
How much time can you commit to being an AMO Ambassador?
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1 hour a month
5 hours a month
10 hours a month
Please share why you would like to be an AMO Ambassador:
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What ideas do you have for promoting our clinical experiences within your network?
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