Thank you for your interest

in becoming a City Partner with

Friends of Medicine!

City Partners serve as the official on-site representatives of FOM in their designated city, leading event execution and fostering our professional healthcare community.

This application helps us understand your background, availability, and interest level. After reviewing your submission, we'll schedule a call to discuss the opportunity in detail.

Please complete all required fields below.

First Name

Last Name

Phone *

Email *

Which city are you interested in? *

Current Career Stage *

How many events per month can you commit to hosting? *

What days/times are you typically available for events? (Events run 7-10pm, setup starts at 6pm) *

Tell us about your professional background *

Which of our signature event themes are you most interested in hosting? (Select all that apply)

Why are you interested in becoming a City Partner with Friends of Medicine? *

What best describes your interest in Friends of Medicine? *

I consent to receive marketing and promotional messages (special offers, discounts, updates) from Friends of Medicine. Message frequency varies. Msg & data rates may apply. Reply STOP to opt out, HELP for help.

I consent to receive text messages about my City Partner application from Friends of Medicine. Message frequency varies. Msg & data rates may apply. Reply STOP to opt out, HELP for help.