Pre-Medicine Club Membership Application

Major

Are you currently enrolled in at LEAST 6 credit hours at Valencia College?:

Do you currently have a 2.0 or higher GPA?:

Please provide a phone number and if you can text:

Please describe your career goals (1-2 sentences):

What would you like to get out of the Valencia College Pre Medicine Club experience? (1-2 sentences):

Any Additional Comments or Questions?

By signing this form, I understand and have agreed to always conduct myself in a fashion that does not jeopardize the image of Valencia College Pre Medicinde Club, I hereby consent to and given permission to the Valencia College Pre Medicine Club to use my name and any photographs, likeness or image taken of me during any event related to the club in any promotional materials, publications or via the website. I also understand that in order to retain membership status. I must attend 50% of the clubs meetings, activities and/or events.

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