Globe Med

Application for Membership 2009-2010 Thank you for wanting to be a part of GlobeMed. We ask all potential members to fill out this application to ensure people who are joining GlobeMed will be committed to this organization and so we can see what kind of skills potential members have to offer. Instructions – Please complete this application and sign the Membership Contract. Bring application to the next GlobeMed meeting or e-mail it to our address bellow. Contact us at [email protected] with questions. Name: Ambreen Maan Hometown: Chicago Year in School: Freshman Major & Minors: Biology Major, Neuroscience Minor Spanish Proficiency (not required): None Potential Career Interest: Physician Email: [email protected] Phone Number: 773 742 1249 Briefly answer the following questions and attach to this paper: 1) How did you hear about GlobeMed? I received an email about this organization through the pre-health office. 2) What drew you to GlobeMed and why do you identify with our mission? (more about GlobeMed’s mission can be found at www.globemed.org/about/) I believe that healthcare should be a right, not a privilege. Because we live in a well developed country and pretty well off, it should be our duty to go out and help those who are not as fortunate as us. GlobeMed does exactly that which is why I feel it is a great organization to be a part of. 3) What is your past involvement with the global health field (it’s completely fine if this is your first involvement in global health) and what skills do you possess that can contribute to the organization? (examples of skills might include foreign languages, graphic design, finance experience, marketing knowledge, etc.) This is my first involvement in global health. Foreign languages in which I am fluent include Urdu and Hindi.

4) What other organizations are you involved in and can you see yourself as a dedicated member of GlobeMed? I am also involved in AED and AMSA. I can see myself as I dedicated member of GlobeMed because I do have a lot of extra time I can commit to the organization and I stand for GlobeMed’s mission. 5) What do you hope to get out of your involvement with GlobeMed? I hope to learn more about how I can help those who do not have access to healthcare systems gain the knowledge and care that is vital for their survival. I also hope to spread awareness of this issue and how it is affecting people world wide. I would also like to volunteer abroad at some point.

1032 W Sheridan Rd ● Centennial Forum Student Union LL39 ● Chicago, IL 60660 630.854.1660 ● www.globemed.org ● [email protected]

As a member of GlobeMed, I pledge to: (please initial in each blank): __AM___

Have read GlobeMed’s mission, vision, and core values Adhere to the core values of GlobeMed

___AM__ integrity

Participate and lead with the highest standards of honesty and

AM__ Be a dedicated member who will positively contribute to the organization AM__

Attend, at minimum, 70% of all GlobeMed events throughout the year (ex. fundraising events, speakers, workshops, fellowship activities) as possible

AM__

Strongly consider taking a leadership role in the organization in the future

_ AM__ _ AM__

Work to get to know the other members of GlobeMed Include $20 membership fee* each semester which will be used towards GlobeMed projects in La Primavera, Guatemala and a GlobeMed t-shirt

*make check payable to “GlobeMed at Loyola University”, or cash I understand that these requirements are in place to ensure GlobeMed is composed of dedicated members that will be involved in the organization and that my membership status will be revoked if I do not fulfill the requirements stated above. Print Name Ambreen Maan _ Signature Date _09/12/09_ _

1032 W Sheridan Rd ● Centennial Forum Student Union LL39 ● Chicago, IL 60660 630.854.1660 ● www.globemed.org ● [email protected]

1032 W Sheridan Rd ● Centennial Forum Student Union LL39 ● Chicago, IL 60660 630.854.1660 ● www.globemed.org ● [email protected]