Membership

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Membership Form

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Are you over 18? *

Yes No

What college do you attend? *

Rutgers-New Brunswick Rutgers-Newark NJIT Princeton TCNJ Other College In High School

What year are you? *

Freshmen Sophomore Junior Senior Graduate School or Post-Bac High School

What is your purpose for joining NADI? *

Clinical Experience Interest in Public Health Community Service Need Extracurricular Activity for Medical School Application

How did you find out about NADI? *

Involvement Fair Friend Email Screening Event Other

How many hours can you contribute to NADI a month? *

What career do you plan on pursuing? *

Medical School (M.D. or D.O.) Nursing Physician's Assistant Dental School Allied Health Careers Public Health Career Alternative Medicine Other

Many of our screening events are off-campus. Would you be able to attend them at least twice a semester? *

Yes; I have a car and can drive to the events in NJ Yes; I would need a ride though because I do not have a car on campus Yes; I would prefer on-campus or near-campus events though No; I would like to only attend on-campus events

If Other, please briefly describe: *

We will contact you as soon as we read through your membership form and discuss it among the executive board. Thank you for your interest in NADI!

Submit

We Would Love to Have You Join our team or attend a NAdi activity!

Hours

7:00 am - 9:00 pm
Everyday

Telephone

609-216-1277

Email

[email protected]

Home
About Us
Rutgers
Resources
Join Our Team
Contact Us
Rebranding to APSEA
Donate

Membership Form

​We Would Love to Have You Join our team or attend a NAdi activity!

Hours

Telephone

Email

We Would Love to Have You Join our team or attend a NAdi activity!