Advancing Women in Emergency Section
Please submit your responses below
Name
*
First Name
Last Name
Member ID
*
Email
*
example@example.com
Please list your places(s) of work
*
Please tell us about your leadership experience (hospital/college/university/other)
*
Please tell us about any special interests you have that may be relevant to this Section (clinical/academic/other)
*
What do you hope this Section might achieve?
Would you be interested in taking on a mentor position?
Submit
Should be Empty: