GLOBAL MEDICAL TRAINING
Membership Application 2011-2012
Must be a UCLA affiliate – student, staff member, faculty, alumni
Must submit this application along with a $15 membership fee
Must attend at least 1 fundraising event hosted by GMT per quarter
Must attend at least 1 volunteer service event per quarter
Must attend 5 general meetings per quarter
First M.I. Date
Sex M/F Major Expected Year of Graduation
City State ZIP
Phone E-mail Address
Pre-Medical Pre-Dental Pre-Pharmacy Pre-Nursing Pre-Veterinarian Undecided Other:
PLEASE ANSWER THESE QUESTIONS
1. Do you have a car? Will you be able to drive?
2. Please list all trips you plan to attend.
3. What are some topics you would like us to cover during our workshops?
4. What are some volunteer events you would like to participate in through GMT?
5. Come up with a unique fundraising idea for GMT.
6. How did you hear about GMT?