Get Thomas Jefferson University Visiting Student Application For Clerkship Instructions Form 2019-2026

Filling out the Thomas Jefferson University Visiting Student Application for Clerkship Instructions Form is an essential step for students seeking clinical exposure. This guide provides a structured approach to completing the application online, ensuring all necessary information is included.

Follow the steps to complete your application form effectively.

1. Press the ‘Get Form’ button to access the application form and open it in your preferred online editor.
2. Begin by entering your student information in Section I. Fill in your full name, street address, city, state, zip code, telephone number, email address, and date of birth in the appropriate fields.
3. Complete the demographics section, providing optional data about your gender, race/ethnicity, and language fluency if applicable. This information is used for reporting purposes.
4. In the medical school information section, specify the name and location of your medical school, your USMLE Step 1 score, and your expected graduation date.
5. Write a personal statement explaining why you are interested in this clinical opportunity at Jefferson. Make sure it is clear and concise.
6. Fill out the visiting clerkship request section, selecting your department name and requested course number. Indicate your first and second preferences for the rotation dates.
7. Ensure you acknowledge the conditions regarding clerkships for non-SKMC students, including the maximum duration and previous clerkship experience.
8. Gather all required documentation, including a Pennsylvania criminal background check, child abuse clearance, health insurance proof, malpractice insurance evidence, HIPAA training, BLS/ACLS certification, and recent transcript, among others.
9. The home medical school certification must be completed by an authorized representative from your school, verifying your status and any necessary approvals.
10. Finally, review all sections for accuracy, save the changes, and download, print, or share the completed form as needed.

Submit your completed application form online to take the next step in your medical career.