2025 Sponsor Request Form

Thank you for your interest in joining EAST! In order for us to assist you in finding EAST members to act as sponsors, we will need a copy of your curriculum vitae.

A member of the EAST staff will be in contact with you once potential sponsors have been determined.

Name*

Credentials*

Email Address*

Membership Type*

ActiveAssociateFellow-in-TrainingInternationalMedical StudentProvisionalSenior

Curriculum Vitae (CV)*

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