Advancing Women in Emergency Network
Membership Application
Name
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First Name
Last Name
Email
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ACEM membership number
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Please list your places(s) of work
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Please tell us about your leadership experience (hospital/college/university/other)
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Please tell us about any special interests or experience you have that may be relevant to this Network (clinical/academic/other)
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What do you hope this Section might achieve?
Would you be interested in taking on a mentor position?
By submitting I agree to receive news of AWE activities and actively contribute to the Network.
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