Special Elective Form (MD) - Albert Einstein College 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name and Banner ID at the top of the form. Ensure that your name is spelled correctly as it will appear on official documents.
3. Fill in the elective title, making sure it is specific to your project and does not exceed 30 characters. This title will be included on your final transcript.
4. Specify the starting and ending dates for your elective. Remember, all electives must last four weeks unless otherwise approved.
5. Select the type of elective you are pursuing by checking the appropriate box: Clinical, Research, ISP, or Reading. If you choose Reading, note that additional requirements apply.
6. Provide a detailed academic reasoning for your elective by attaching an abstract that outlines your project description, timeline, communication plan with your faculty mentor, and learning objectives.
7. Check all applicable personalized academic goals related to this elective to clarify your intentions.
8. Sign the document to confirm completion of the elective and agreement to its requirements.
9. Have your faculty mentor complete their section by providing their details and signature, ensuring they agree to oversee your elective.

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