ACP Chapters Collaboration/IMG Event at NOLA

This quick feedback is to get information regarding your attendance at the ACP Chapters collaborative event that is intended to see a variety of engagement opportunities during the IMM 2025 in New Orleans. Time to completion <2 minutes

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* 1. Will you attend the Chapters' Collaborative event at American Institute of Architects on 4/4/25 8PM-10:30PM?

Yes

Unsure

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* 2. Will you be bringing a Guest with you?

Yes

Other (please specify)

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* 3. Do you have any dietary restrictions? (please enter)

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* 4. Which ACP Chapter do identify with ? E.g. SoCal3, Connecticut, NY, India, Colombia etc.

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* 5. What is your level of ACP membership?

Full Member- including FACP, MACP (not a trainee or a fellow)

Trainee (resident, fellow, other training position)

Medical Student

Not a member but interested in becoming a member

Not a member

Other (please specify)

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* 6. Are you an International Medical Graduate?

Yes, based off outside USA

Yes, practicing in US

Other (please specify)

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* 7. Your contact information

Name

Company/Hospital

Country

Are you on What's app and Ok to communicate there?

Email Address

Phone Number