Get Medical Student Application-fontana(pdf) - Kaiser Permanente ... - Residency Kp

Filling out the Medical Student Application for Kaiser Permanente is a vital step in your clinical rotation journey. This guide will assist you through each section of the application, ensuring you provide all necessary information accurately and efficiently.

Follow the steps to complete your application effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill out your name and contact information in the designated fields, including your current and permanent addresses, home phone number, pager, cell number, and email.
3. Indicate your title as 'Student' along with your current year of study and your specialty of interest or training.
4. To address previous clinical rotations, check 'Yes' or 'No.' If you have rotated previously, fill in the details such as date, location, and specialty.
5. Specify the rotation dates requested by completing the fields for your first, second, and third choices of rotation specialty and location.
6. In the Medical Education section, list your medical school, address, start date, and anticipated graduation date.
7. Review the documents required for submission, ensuring to check ‘Yes’ or ‘No’ for each document including the Dean's Letter, malpractice insurance statement, transcript, scores, and personal statement.
8. Craft your personal statement addressing your motivations for rotating with Kaiser Fontana, your specialty of choice, and future plans in medicine.
9. Record examination scores for USMLE and COMLEX exams, noting any multiple attempts as required.
10. Provide your medical license information, DEA number, and expiration dates if applicable, along with any certifications you hold.
11. Read and attest to the accuracy of your information by providing your signature and the date.
12. Complete any required online compliance training, as evaluations will not be issued until this training is completed.
13. After verifying all information, save changes to the document, download your completed application, print it if needed, or share it as required.

Complete your Medical Student Application online today to advance your clinical training opportunities.