Local Chapter Secondary Application
Share |

Local Chapter Secondary Application

Download and complete these documents below, before filling out this online secondary application. More information about APSA Local Chapters can be found on the main APSA LC Webpage, under the "Information about establishing an APSA Local Chapter" section.

Email us at localchapters@physicianscientists.org if you have questions about this application or local chapters of APSA.

Hover over underlined form field labels to see a description or instructions for that field.

Please list the full name, email address, and program year of the elected officers for your Institution's Local Chapter. Note that the positions of President, Treasurer, and School of Medicine (SOM) Liaison are required. If your LC established additional officer positions, please list those as well.