OPPFoundation Student Sponsorship Form 2024

Yes, I want to make a tax-deductible contribution to the Ohio Psychiatric Physicians Foundation (OPPF) in support of medical student education, including but not limited to, sponsoring one or more students to attend the OPPA Annual Psychiatric Update.

Basic Information

First Name
Last Name
Email
Home Address
City State Zip
Home Phone
Office Phone
Check here if you do NOT wish for your sponsorship/contribution to be identified in membership information or meeting materials.

Contribution Options:

1) I would like to make a contribution for the overall programmatic support of medical student education, including but not limited to, sponsoring one or more students to attend the 2024 OPPA Virtual Annual Psychiatric Update on April 13-14, 2024

Please indicate the number of students you wish to sponsor:
1 $125
2 $250
3 $375
4 $500
5 $625
6 $750
7 $875
8 $1000
Check here if you plan to attend the 2024 OPPA Annual Psychiatric Update on April 13-14and would like to serve as a mentor to one or more medical students during the meeting. A mentor is there to share his/her knowledge and professional experiences and to answer any questions students may have about the field of psychiatry. Mentors and students will be seated together at assigned tables during the conference.

3) I would like to make an additional general tax deductible contribution. Select Contribution Level and enter the donation amount.

Level
Enter Donation Amount (minimum of $10)
   - denotes required fields