New Interest Group

Before continuing with the rest of the form please download this endorsement signature form and upload a scan/photo of the filled form.

Endorsment Form Upload*

Accepted file types: jpg, png, pdf, Max. file size: 10 MB.

Name of Group*

Group Type*

Academic
Community

Purpose of Group*

Why do you wish to form this group? What will it offer to MMSA members that is unique and not already offered by other groups?

Official Group Description*

This will be the description posted on the MMSA website.

Faculty Advisor: Required for academic interest groups only.

Name*

First Last

Position*

Email*

Group Executives – May be one or two. Please include full names and preferred email addresses for correspondence. You may use your personal or school email, please consider creating a new, group-specific email address.

1st Executive Name*

First Last

1st Executive Email*

2nd Executive Name

First Last

2nd Executive Email

Contact Email*

The preferred email address for the interest group, visible on the website.

Executive name(s)*

This field will be visible on the website.

Acceptance of Terms*

The executive body of this interest group agrees to abide by the terms outlined in the MMSA’s Interest Group Policy

Manitoba Medical Students’ Association

The MMSA recognizes that the University of Manitoba is located in Treaty 1 Land

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