AMEC Day of Service

OAMEC Community Service Project: Day of Service Registration

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5113 Georgia Ave, NW
Washington, DC 20011
ph: 202-882-2881
healthpolicy@snma.org

First Name*

Last Name*

Title*

Suite/Apt. #*

Mailing Address*

City*

State*

Zip*

Phone Number*

Email*

Verify Email*

Member #*

Chapter*

Region #*:

Have you registered for AMEC 2009? *

Yes

Please select the day and time you are available in addition to the events you would like to participate in.
Note events are listed with respect to the days they are occurring. Multiple selections are allowed.

Friday, April 10, 2009

Saturday, April 11, 2009

7:00 AM - 10:00 AM

9:00 AM - 12:00 PM

11:00 AM - 2:00 PM

3:00 PM - 5:00 PM

1:00 PM - 4:00 PM

ALL DAY (7:00 AM - 5:00 PM)

ALL DAY (7:00 AM - 4:00 PM)

Events:

Please indicate 1st, 2nd, and 3rd choice

Bone Marrow Drive (event support,
on-site)

HIV Testing (event support, on-site)

Youth Enrichment (off-site)

Community Construction/Beautification
(off-site)

Community Service HQ/Info Desk

Health and Housing Access Advocacy
Workshop (event support, on site)

"On-site" means the event or service will take place on the grounds of the conference hotel.
"Off-site" the event will take place in the surrounding communities, transportation will be provided.
"Event support" volunteers will assist in the logistics and operations of the event as well as host special guest participants.
Any questions regarding events or registration can be directed to communityservice@snma.org.

Join SNMA for its second annual Day of Service at the Annual Medical Education Conference. Please indicate on the
form below when you would like to participate. Once your registration is received, the SNMA Community Service
committee will contact you with confirmation of your service arrangement and further logistical details. We appreciate
your interest and participation and hope to see you in service!