HealthEdIT Application // Part 01
Q.1
What is your name?
*
First Name
Last Name
Q.2
What is your primary email address?
*
(e.g. john@example.com)
Q.3
If you're on Twitter, what is your Twitter account name?
Q.4
What is the best phone number to reach you at?
*
(e.g. 1 201-234-5678)
Q.5
Where do you currently reside?
*
City
State
Q.6
Please indicate your school affiliation.
*
Q.7
Please choose what best describes you.
College Student / Undergraduate
Graduate Student
Medical Student
Nursing Student
Resident Physician
Nurse
Other:
Q.8
What topic areas are you most interested in? (you can pick more than one)
3D Printing
Education
EMR & EHR
ePatients & Participatory Medicine
Gamification
Genomics
HIPAA
Medical Devices
Mobile Apps
Neuroscience
Pediatrics
Primary Care
Regenerative Medicine
Smartphones
Social Media
Stem Cells
Surgery
Ultrasound
Wearables
Other: