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Academic Profile
Complete this brief form will launch our partnership of training tomorrow’s healthcare leaders.
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School / University
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Address
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City
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Phone
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Program of Study
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What program are you interested in?
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Will a memorandum of understanding (MOU) or an affiliation contract need to be signed in order for a student to participant in an internship or clinical rotation?
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Describe how would you like to create an exciting learning experience in your interns or medical students.
Use this space to list any questions you have for us.
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