1 Start 2 Preview 3 Complete Registration:Medical students: You must provide us with your name and email address within the webform below. Within 24 - 48 hours, we will provide you with a unique code allowing you to access the course. Please make sure that the information you enter is as accurate as possible. Faculty members: You may register medical students using the form below. You will not be granted access unless you request it by sending an email to Academy@idsociety.org stating the reason that you would like access.Please note: This current offer is exclusively for medical students. The curriculum can still be purchased for additional learners within IDSA Academy. In the boxes below, please provide the name of your institution along with the full name and e-mail address of all medical students that you are registering for the 2019 CORE AS Curriculum. Name of Institution * Please spell out your Institution name Program Director/Faculty Advisor Enter first name, last name Program Director/ Faculty Advisor E-mail address Are you registering medical students? * Yes No Medical Student Registration Student 1 * Enter first name, last name Student 1 E-mail Address * Student 2 Enter first name, last name Student 2 E-mail Address Student 3 Enter first name, last name Student 3 E-mail Address Student 4 Enter first name, last name Student 4 E-mail Address Student 5 Enter first name, last name Student 5 E-mail Address Student 6 Enter first name, last name Student 6 E-mail Address Student 7 Enter first name, last name Student 7 E-mail Address Student 8 Enter first name, last name Student 8 E-mail Address Student 9 Enter first name, last name Student 9 E-mail Address Student 10 Enter first name, last name Student 10 E-mail Address Still need to add more medical students? Yes No Additional Medical Student Registration Student 11 Enter first name, last name Student 11 E-mail Address Student 12 Enter first name, last name Student 12 E-mail Address Student 13 Enter first name, last name Student 13 E-mail Address Student 14 Enter first name, last name Student 14 E-mail Address Student 15 Enter first name, last name Student 15 E-mail Address Student 16 Enter first name, last name Student 16 E-mail Address Student 17 Enter first name, last name Student 17 E-mail Address Student 18 Enter first name, last name Student 18 E-mail Address Student 19 Enter first name, last name Student 19 E-mail Address Student 20 Enter first name, last name Student 20 E-mail Address Student 21 Enter first name, last name Student 21 E-mail Address Student 22 Enter first name, last name Student 22 E-mail Address Student 23 Enter first name, last name Student 23 E-mail Address Student 24 Enter first name, last name Student 24 E-mail Address Student 25 Enter first name, last name Student 25 E-mail Address Student 26 Enter first name, last name Student 26 E-mail Address Student 27 Enter first name, last name Student 27 E-mail Address Student 28 Enter first name, last name Student 28 E-mail Address Student 29 Enter first name, last name Student 29 E-mail Address Student 30 Enter first name, last name Student 30 E-mail Address If you need more fields for medical students than the form allows, please e-mail academy@idsociety.org, for more information. Leave this field blank
