Question Title

* 1. What is your first name?

Question Title

* 2. What is your last name?

Question Title

* 3. At what email address would you like to be contacted?

Question Title

* 4. Are you a current AMIA Member?

Question Title

* 5. Have you attended a previous AMIA Annual Symposium? If so, how many?

Question Title

* 6. Have you registered to attend #AMIA2024?

Question Title

* 7. Which Social Media Platform(s) are you interested in utilizing as an ambassador?

Question Title

* 8. Please share your social media handles. (Note N/A if you will not utilize the platform)

Question Title

* 9. Can you commit to posting/sharing content about the AMIA Annual Symposium once per week October 1st through November 8?

Question Title

* 10. Can you commit to posting 5 times per day about your on-site experience throughout the duration of Annual Symposium?

**Content suggestion and support will be provided**

T