Medical Explorers Registration.

Thank you for your interest in Medical Explorers. Please complete the registration application below. Upon clicking “Submit”, you should receive a “Congratulations” email with instructions for watching the HIPAA Education Session. New and returning students must complete all steps each year. The HIPAA session is an annual inservice that is required of CAMC employees and students. Watch your email for meeting notifications each month. If you don’t receive by the first of the month, check your junk mail for an email from Debby.Schoolcraft@camc.org.

About you
First Name Last Name Birth Date mm/dd/yyyy
Address City State Zip
Phone xxx-xxx-xxxx   E-mail
School    Grade
Are you a returning medical explorer student?
If you answered yes to the question above and are a senior, please indicate which officer position you would like to run for, if any. 

Officer Information:
President
– Presides over  post meetings.  Introduces speaker(s) from prepared biography.  Makes announcements from prepared notes provided by post leadership.
Vice President – Presides over post meetings in the absence of the President.  Assists liaison with attendance. 
Liaison
– In charge of taking attendance and distributing handouts at each meeting.  Writes and sends thank you notes to speakers.

Careers
What health career(s) interest you the most? (Select all that apply).
Nursing/Allied Health Positions
Physician


Professional/Technical


Therapy



Dentistry
Imaging



Laboratory



Nursing



Other
(if other, please fill in box to the left with career name...limit 100 characters)