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ACP Internal Medicine Interest Group Sponsorship Program Application

Thank you for your interest in the ACP IMIG Sponsorship Program! The early bird deadline was June 1, 2013, and those applications are being processed. All other applications will be processed on monthly basis starting in July.
The deadline to submit for funding for 2013-2014 is September 15, 2013.

View the IMIG Program Timeline for more information.

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

Note: Items marked with * are required.

Person Completing This Form
Student Leader Information

* 2013-2014 Student Leader: Student Membership is free. Join now at www.acponline.org/joinnow. The IMIG Student Leader must be an ACP Medical Student Member. Please fill in your ACP number to prevent delays in your application.

Additional Student Leaders (optional)
Faculty Advisor
Provide Fulfillment Information

*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 to prevent delays in your application.

* 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 Activities
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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