Uic questionnaire 2026

1. Click ‘Get Form’ to open the uic questionnaire in the editor.
2. Begin by filling in your personal information in the 'Information to be completed by Student' section. Enter your first name, last name, UIN, and email address.
3. Next, move to the 'Below Information to be completed by Sub-Internship Physician Director' section. Here, the director will need to provide details such as sub-internship specialty, institution name, start and end dates, duration of the internship, and their contact information.
4. Proceed to answer questions regarding student responsibilities during the rotation. Select 'YES' or 'NO' for each question and provide explanations where necessary.
5. In the following sections, check off anticipated patient conditions and procedures that students should perform. Use the comments sections for any additional notes or descriptions.
6. Finally, ensure that the director provides their signature and date at the bottom of the form before submitting it back to you.

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