Clinical Elective Application - Morehouse School of Medicine - msm 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your personal information in the 'Applicant Name', 'Mailing Address', 'City', 'State', 'Telephone #', and 'Email Address' fields. Ensure all details are accurate and clearly typed.
3. In the 'Elective Name' and 'Department' sections, specify the elective you wish to apply for along with the corresponding department. Select your preferred dates for the elective, including an alternate date if applicable.
4. The next section requires approval from your home institution. Ensure that a Dean or comparable official completes this part, confirming your academic standing and insurance coverage. Remember to affix the school seal over their signature.
5. Review all entries for accuracy before submitting. Once completed, save your document and return it to Jasmin Bland at Morehouse School of Medicine via mail or fax.

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