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ACP Internal Medicine Interest Group Sponsorship Program Application

Joining the 2012-2013 ACP IMIG Sponsorship Program is easy. Simply complete and submit the form below by June 1, 2012.

  • Applications submitted by June 1 will receive funding and materials in July.
  • Applications submitted after June 1 will receive funding and materials on a rolling-basis until October 1.
  • All applications must be received by October 1 for an IMIG to be to be eligible for funding and materials.

Please e-mail any questions to imig@acponline.org.

Note: Items marked with * are required.

Person Completing This Form
Student Leader Information

* 2012-2013 Student Leader: Student Membership is free. Join now at www.acponline.org/joinnow .

Additional Student Leaders
Faculty Advisor
Provide Fulfillment Information

* Please confirm payee with your school's accounting office before submitting.

Checks must be made payable to a club bank account or an institution, they cannot be made payable to an individual. Please confirm payee with your school's accounting office before submitting.

* Checks should be made payable to:

There is a $35 fee for lost/reissued checks.

Shipping Information for Check
Shipping Information for Materials

If this section is left blank, materials will be sent to the name and address listed above.

Provide Information about the ACP-Sponsored IMIG Activity
Prepare and Submit IMIG Bylaws

If you have never participated in this sponsorship program before, please e-mail a completed copy of the group’s bylaws to imig@acponline.org

It is only necessary to submit a copy of your bylaws if you are a new participant to the IMIG Sponsorship Program, or if you've changed bylaws.

Students: Join ACP for Free

Benefits of Membership for Students: ACP's free Medical Student Membership includes benefits designed especially to meet students' needs.

Join Now: Sign-up today and begin enjoying the benefits of ACP Medical Student Membership.

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ACP JournalWise

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Learn on the Go with Internal Medicine 2012 Digital Presentations!

Learn on the Go with Internal Medicine 2012 Digital Presentations!

Attend virtual sessions on a wide variety of topics in the format of your choice with Internal Medicine 2012 recordings and webcasts. Choose from over 175 scientific sessions or 18 webcasts of selected sessions. Select individual sessions or money-saving packages. Review your options now.

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