2026 Catalyst Program Application

Thank you for your interest in the ACMT/SAEM Catalyst Program.

This program is designed to introduce medical students and residents to the field of medical toxicology while providing meaningful opportunities to engage with ACMT members, leaders, and fellows during the Annual Scientific Meeting.

Please complete the application below. Selected applicants will demonstrate enthusiasm for medical toxicology, professionalism, leadership potential, and a commitment to actively participating in the conference experience.

Applications will be reviewed by ACMT leadership, and selected ambassadors will be notified following the review process.

Fields marked with an * are required.

Please verify that you have checked the “I'm not a robot” checkbox.

Contact Information

Training Information

Medical Student 1
Medical Student 2
Medical Student 3
Medical Student 4
Resident PGY1
Resident PGY2
Resident PGY3
Resident PGY4

Interest in Medical Toxicology

Describe any previous experiences, activities, research, volunteer work, or educational experiences related to toxicology.

Describe a leadership role, volunteer experience, or extracurricular activity that has been meaningful to you and why.

Yes
No
Supporting Materials

20MB max

I understand that, if selected, I will be expected to actively participate in program activities and fulfill assigned ambassador responsibilities during the Annual Scientific Meeting.