CMA Ambassador Application Form

The CMA Ambassador Program is for members in the first fifteen years of their career – students, residents and early-career physicians — who are interested in getting involved in health policy, advocacy and leadership.

As a CMA Ambassador, you’ll have the opportunity to:

be selected to attend CMA events such as the Health Summit;
provide direct feedback to the CMA through consultations, surveys and working groups;
challenge your peers to get involved with the CMA through events, social media and networking;
collaborate by joining communities on issues and causes that matter to you; and
develop your leadership skills through mentorship with physician leaders.

Join now!

Please provide your contact information below: *This question is required.

Salutation

First name

Last name

Preferred phone number

Email address

City

I'm a CMA member: *This question is required.

This program is only available to CMA members. Not a member? Join the CMA.

How did you hear about the CMA Ambassador Program? *This question is required.

I'm currently: *This question is required.