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Caduceus Membership Form

The Club for All Health Professions

Provide your first and last name

Provide your Mt. SAC Student Email

Please provide contact number

Please provide your career goal.

I am interested in joining Caduceus Club for

Please check all that apply

Any further reasons you wish to join, or comments.

I understand that membership in the Mt. San Antonio College Caduceus Club is on an annual basis and must be renewed each year in order to remain active. Inactive members will be removed from the membership list at the end of each academic year. All dues received prior to May 1 will be for this membership cycle. My photo may be taken during club activities and used in club publications, including the Caduceus Club websites. The goal of our club is to foster awareness and respect for all health professions and to provide students with an opportunity to explore their potential in medicine. Caduceus Club activities include field trips, shadowing, fund raising, speakers programs, conferences, travel, and section meetings. Active members in good standing are eligible to receive awards and a graduation stole in the Spring semester based on a separate application and the selection of our awards committee. 

Confirm Membership

Confirmation you understand membership statement above.

 

 

Annual Dues

 $10 (Dues must be paid in person in 60-2101, or at Fiscal Services.)

Are you a Premed Student?

Premed students may also join the Caduceus Club Chapter of the American Medical Student Association (AMSA). AMSA is a national organization and requires a separate application available online at www.amsa.org.