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USF Medical Student Membership Application

  • Membership Details

    *This information is required
  • Date Format: MM slash DD slash YYYY
  • Education Details

    *This information is required
  • Med. School: USF College of Medicine, Tampa, FL
  • By my signature, I agree to accept and be bound by the Articles of Incorporation and Bylaws of the HCMA, and the Principles of Medical Ethics of the AMA, together with all future amendments of such Articles of Incorporation, Bylaws, or Principles of Medical Ethics, which may be duly adopted by the respective organizations.

    I hereby certify that the foregoing is true and correct to the best of my knowledge. I understand and agree that if I knowingly make a false representation in this application or a representation that in the exercise of reasonable care I should have known to be false, the HCMA has the authority to reject this application.

  • Date Format: MM slash DD slash YYYY