The Rural Medicine Education Symposium Registration Form

The University of Mississippi School of Medicine will host the third statewide Rural Medicine Education Symposium on January 31-February 1, 2025, at The Westin in downtown Jackson. The theme for this symposium is The Rural Impact 2025. Please complete the registration form.

* = Required Fields

First Name*	*
Last Name*	*
Credentials (M.D., Ph.D., DNP, PA-C, etc.)
Email Address*	*Invalid Email
Organization*	*
What is your current status?*	Student Resident Physician Assistant Physician Administrator Other *
If Other, please list here
Which date do you plan to attend the symposium?*	Friday, January 31, 2025 Saturday, February 1, 2025 Both Dates *
How did you hear about this event?*	Previously Attended Mississippi State Medical Association (MSMA) Communication UMMC Communication Word of Mouth Other *
If Other, please list here: