UCF Pre-Med AMSA Sign Up Form
First Name
Last Name
UCF PID
Year
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Freshman
Sophomore
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Super Senior
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Street Address
City
State
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ALABAMA
ALASKA
ALBERTA
APO / FPO - AA
APO / FPO - AE
APO / FPO - AP
ARIZONA
ARKANSAS
BRITISH COLUMBIA
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CONNECTICUT
DELAWARE
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GUAM
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IDAHO
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INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MANITOBA
MARSHALL ISLANDS
MARYLAND
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MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW BRUNSWICK
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NEWFOUNDLAND
NORTH CAROLINA
NORTH DAKOTA
NOVA SCOTIA
NW TERRITORIES
OHIO
OKLAHOMA
ONTARIO
OREGON
OTHER
PENNSYLVANIA
PRINCE EDWARD ISLAND
PUERTO RICO
QUEBEC
RHODE ISLAND
SASKATCHEWAN
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGIN ISLANDS
VIRGINIA
WASHINGTON
WASHINGTON DC
WEST VIRGINIA
WISCONSIN
WYOMING
YUKON
Zip Code
Phone
Alternate Phone
Email
Birthdate
Major
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Molecular Biology and Microbiology
Accounting
Actuarial Science
Advertising/Public Relations
Aerospace Engineering
Anthropology
Applied Science - Articulated
Art (BA, BFA)
Art - Animation Track
Art - History Track
Art - Studio Track
Art Education
Biology
Business Administration
Cardiopulmonary Sciences
Chemistry
Civil Engineering
Communicative Sciences and Disorders
Computer Engineering
Computer Science
Criminal Justice
Digital Media
Early Childhood Education
Economics
Economics, Business
Electrical Engineering
Elementary Education
Engineering Technology
English
Environmental Engineering
Event Management
Exceptional Student Education
Film
Finance
Foreign Language Education - French
Foreign Language Education - Spanish
Forensic Science - Analysis Track
Forensic Science - Biochemistry Track
French
General Business
Health Information Management
Health Sciences
Health Services Administration
History
Hospitality Management
Humanities
Industrial Engineering
Information Systems Technology
Information Technology
Interpersonal/Organizational Communication
Journalism
Legal Studies
Liberal Studies
Management
Management Information Systems
Marketing
Mathematics
Mechanical Engineering
Medical Laboratory Sciences
Modern Language Combination
Music
Music Education
Music Performance
Nursing
Philosophy
Photography
Physical Education
Physics
Political Science
Psychology (B.A.)
Psychology (B.S.)
Public Administration
Radio - Television
Radiologic Sciences
Real Estate
Religious Studies
Restaurant and Foodservice Management
Science Education - Biology
Science Education - Chemistry
Science Education - Physics
Social Sciences
Social Science Education
Social Work
Sociology
Spanish
Sports and Fitness
Statistics
Theatre
Committe
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Academics
Athletics
Fundraising
Health Outreach
Medical Relations
Newsletter
Public Relations
Social Activities
Volunteering
Webmaster Assistant
Name on the Credit Card
you will use in Paypal
Shirt Size
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S
M
L
XL