Holy Cross Physicians Association Interest Form

The Holy Cross Physicians Association (HCPA) serves as the primary organization connecting alumni physicians with the greater Holy Cross community. The HCPA facilitates lifelong learning, professional networking and mentorship opportunities. The group upholds the Jesuit tradition through the steadfast pursuit of excellence and dedicated service to those in need.

We all know the life of a physician is incredibly busy. To become a general member of the HCPA requires minimal time commitment. If you are at a point in your career which affords a bit more time, consider a spot on the HCPA Board of Directors or on a planning committee.

We need you! Share your ideas. Express appreciation for your alma mater and help shape the future cadre of Holy Cross physicians. Become an engaged member of the HCPA today.

If you have any questions, please contact Alumni Career Development at alumnicareers@holycross.edu or 508-793-2418.

First Name: Required Field

Last Name: Required Field

Class Year (please enter FULL year, e.g., 1985): Required Field

Primary E-mail: Required Field

Email

Holy Cross Major/Minor:

Job Title:

Employer:

Employer City:

Employer State:

Medical or Osteopath School:

Year of Graduation:

Degree:

Currently enrolled?

Currently enrolled? Yes
No

Career Category:

Career Specialty:

Career Category/Specialty if not listed above:

Would you be interested in helping to organize events?

Would you be interested in helping to organize events? Yes
No
Maybe

Would you be interested in helping to mentor medical residents and/or young professionals?

Would you be interested in helping to mentor medical residents and/or young professionals? Yes
No
Maybe

Additional Information (details on work, professional certifications, career interest, mentoring, etc.)

IMPORTANT: Please click "Save and Continue" below. When you do, your form will automatically be submitted and you will be taken to the online community page of the HC alumni website. (If you do not click "Save and Continue," your form will not be submitted.) Thank you for your interest!

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Holy Cross Physicians Association Interest Form