Medical Student Section Leadership Honor Society Application

Medical Student Section Leadership Honor Society Application
The TMA-MSS Leadership Honor Society recognizes current or rising fourth year medical students that have actively participated in Texas organized medicine. Accepted honor society members will be acknowledged at TMA's annual conference, TEXMED, during the MSS Business meeting where they will receive honor cords, provided by TMA. The honor cords will be worn by students at their respective medical school graduations.

The following are the requirements for membership in the TMA-MSS Leadership Honor Society:
- Student must be a medical student in a Texas medical school and a member of the TMA.
- Student must hold leadership roles that average at least half of the years they spend in medical school (i.e. 2 of 4 years, 3 of 6 years, etc.).
- Leadership roles include official chapter, county and state positions (TMA Board, Council or Committee positions, MSS Executive Council, chapter positions listed within the chapter bylaws, county society positions, other positions will be subject to allowance based on the MSS Executive Council’s discretion).
- Student must attend at least an average of one TMA conference for each year the student is enrolled in medical school.
- Student must demonstrate good mentorship of fellow medical students.
Application deadline: April 15
APPLICANT INFORMATION
Name*

First NameLast Name
School (campus)*
Classification as of Aug. 1 this year*
(MSI, MSII, MSIII, MSIV)
Commencement Ceremony Date*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*

Area CodePhone Number
LIST LEADERSHIP POSITIONS HELD DURING MEDICAL SCHOOL: *
LIST TMA CONFERENCES ATTENDED AS A MEDICAL STUDENT:*
DESCRIBE A TIME/SITUATION IN WHICH YOU DEMONSTRATED MENTORSHIP OF A FELLOW MEDICAL STUDENT.*
Institution*
Should be Empty: