CROSS-CURRENT MEDICAL THOUGHT LEADERS

Thank you for expressing an interest in joining Medical Thought Leaders. All applications need to be reviewed by the ICMDA. To apply to join the group, please fill out the form below - providing as much information as possible. Please also send a copy of your cv to miriam@graduateimpact.org


Name *
Name
Phone number including international dialling code
Phone number including international dialling code
Example: 10061996
Please include a description of your current responsibilities, number of years experience working in medicine and where you currently work.
Please confirm that you are happy to commit to a 3 year programme of 2 meetings per year (each Thursday evening to Sunday lunchtime) *
Current confirmed dates: 6-9 June 2019 21-24 November 2019
If you will require a visa please also complete the form at the bottom of this page.
Data protection: by submitting this form, you agree to us storing your data for the purpose of sending you relevant information about IFES Graduate Impact. We will not use your personal information for any other purpose. You can withdraw permission at any time, by email to admin@graduateimpact.org. *

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