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CMA Ambassador Application Form

Please complete this form to join the CMA Ambassador Program.

The CMA Ambassador Program is for members in the first 15 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 and other health-related events;
  • 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; and
  • collaborate by joining communities discussing issues and causes that matter to you.
 Join now!

Please note that to join the CMA Ambassador Program, you must answer all questions in this form. It should take you approximately 10–15 minutes to complete.
Please provide your contact information below: *This question is required.
I'm a CMA member: *This question is required.
This program is only available to CMA members. Not a member? Join the CMA.
I'm currently: *This question is required.