Medical Student Pride Alliance: Chapter Application

If you are interested in either starting a new chapter of Medical Student Pride Alliance (MSPA) at your medical school, or affiliating your current LGBTQIA+ medical student group with MSPA (in which you can either change or retain your current group name, and simply be identified on our materials as "Group Name: a chapter of MSPA"), please fill out this form below. If you have questions, direct them to [email protected], with the subject line "MSPA Chapter Application".

Name *
Year in Medical School *
Are you starting an entirely new chapter, or do you have an existing organization that is partnering with MSPA? *
(I.e. Are you the president of an existing organization? Are you a student hoping to lead an entirely new chapter?)
Have you read our New Chapter Guidelines page? *
If not, please read before going ahead!
Is your chapter comfortable with MSPA National highlighting/showcasing your group on website and social media? *