APPLICATION - Clinical or Adjunct Faculty Appointment 2026

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  1. Click ‘Get Form’ to open the APPLICATION - Clinical or Adjunct Faculty Appointment in the editor.
  2. Begin by filling out your COMMUNITY AFFILIATION. Select one of the options provided, such as Flint, Lansing, or others.
  3. In the DEPARTMENT section, indicate your requested appointment department by checking the appropriate box.
  4. Complete your personal information in the NAME and DATE OF BIRTH fields. Ensure all details are accurate and legible.
  5. Fill in your CITIZENSHIP status and provide additional details regarding your ETHNICITY/RACE as required.
  6. Provide your PREFERRED MAILING ADDRESS and any SECONDARY MAILING ADDRESS if applicable.
  7. Continue through sections for EDUCATION, POSTGRADUATE TRAINING, MEDICAL LICENSE, and PREVIOUS ACADEMIC EXPERIENCE, ensuring all fields are completed.
  8. Review the DISCLOSURE OF SIGNIFICANT FINANCIAL INTERESTS section carefully and respond accordingly.
  9. Finally, sign and date the application at the bottom to certify that all information is correct before submitting it.

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