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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:
  • attend select CMA and other health-related events;
  • provide direct feedback on issues to the CMA through consultations, surveys and more; and
  • collaborate and network with the CMA Ambassador community
 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:
Salutation *This question is required.
This question requires a valid email address.
We invite you to self-identify with any of the following attributes (including lived experience). Please complete as many as you wish and provide a brief description
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.