Become an ambassador

Name *

First

Last

Email *

Phone Number *

Country of residence *

University *

Academic Year *

Tell us about an accomplishment you are proud of *

What do you think SCALPEL offers to the student medical-surgical field? *

How would you publicise SCALPEL? (Name 3 methods) *

What would you add to SCALPEL to make it a unique experience? *

Why do you think we should choose you to be Ambassador? *

Anything else you would like to tell us?