"Be worthy to Serve the Suffering" Alpha Omega Alpha Honor Medical Society Key Background

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Contact Information

National Office
12635 E. Montview Blvd., Suite 270
Aurora, CO 80045
P: (720) 859-4149
F: (720) 859-4158
E: info@alphaomegaalpha.org

Visiting Professor

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Date of visit *
Chapter Information
School
* Councilor

Contact Information
Contact First Name *
Contact Last Name *
AΩA Member ID# (See locate a member.)
Contact Email *
Contact Phone *

Proposed visiting schedule of events - MUST be a full day
(even if it's tentative)

Visiting Professor's Information
Visiting Professor First name *
Visiting Professor Last name *
VP AΩA Member ID# (See locate a member.)
Degree(s)*
School Affiliation
Other
Mailing Address
Street 1 *
Street 2
City *
State *
Zip *
Visiting Professor Phone *
Visiting Professor E-mail *

VP’s Assistant Information
VP’s Assistant's First Name
VP’s Assistant's Last Name
VP’s Assistant's Phone
VP’s Assistant's E-mail

Title of Lecture *