Thank you for your interest in assisting public health by joining MRC GEM. Anyone at least 18 years of age is welcome to join. If you are under 18 and at least a high school junior, you are welcome to join and attend meetings along with an adult guardian who is a member.

Please complete the following, then click "Submit". We will send you an email to confirm receipt of your membership application. If you do not hold a valid current Georgia healthcare provider license, you must click the link in that email to download a background check form; follow the instructions on that form.

Please provide ways we can contact you in an emergency:

Email address(es) for regular announcements (in order of preference):

Other important information: