Affidavit and Acknowledgment of Policies - Mount Sinai School of - mssm 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your name in the designated field. Ensure that you print your name clearly as this will be used for official records.
  3. Review the authorization section carefully. This section allows the School to consult with previous institutions regarding your qualifications. Make sure you understand what you are consenting to.
  4. In the signature field, sign your name and date it appropriately. This confirms your acknowledgment of the policies outlined in the document.
  5. If applicable, complete the Amended Oath of Allegiance section by reading through the oath and signing it if you are a U.S. citizen.
  6. Once all fields are filled out, save your document. You can then download or share it directly from our platform for free.

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Mission Statement The Icahn School of Medicine at Mount Sinai advances science, medicine, and health care delivery for the benefit of humanity through a culture of excellence, innovation, collaboration, and belonging.
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