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Submit by email Away Clerkship Request Form COLLEGE OF OSTEOPATHIC MEDICINE This form must be submitted at least 60 DAYS prior to the anticipated start of the clerkship. Incomplete forms will be returned.

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How to Fill out This Form:

1. Start by carefully reading the instructions provided with the form. Understanding the purpose and requirements of the form is crucial to ensuring accurate completion.
2. Gather all the necessary information and documents beforehand. This may include personal identification details, financial records, or any other specific information requested on the form.
3. Begin by filling out the basic information section, such as your name, address, contact details, and any other required personal information.
4. Proceed to the main sections of the form, addressing each question or field methodically. Take your time to provide accurate and complete information. If certain sections are not applicable to you, mark them as "N/A" or "Not Applicable."
5. Pay attention to any specific instructions or formatting requirements for certain fields. Some forms may require you to enter dates in a particular format or provide information in a specific order.
6. Double-check all the information you have entered before submitting the form. Ensure that you haven't missed any required fields, and verify the accuracy of your answers.
7. If the form requires a signature, sign it using your legal signature. Check if any witnesses or additional signatures are required and complete those sections accordingly.
8. After completing the form, make a copy for your records, especially if it is an important document or if you may need to refer back to it later.

Who Needs This Form:

1. Individuals who are applying for a loan or financial assistance may need this form to provide information about their income, assets, and liabilities.
2. Employers may require this form from potential employees as part of the hiring process to gather necessary personal and employment details.
3. Government agencies or educational institutions may use this type of form for various purposes, such as enrollment, applications for benefits, or official documentation.

It is important to remember that the specific form's purpose and requirements will dictate who needs to fill it out. Always refer to the instructions or consult the relevant authorities if you are unsure about whether you need to complete a particular form.

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What is this form must be?

This form is a tax form required by the IRS.

Who is required to file this form must be?

Anyone who has earned income during the tax year.

How to fill out this form must be?

The form can be filled out manually or electronically.

What is the purpose of this form must be?

The purpose of this form is to report income and expenses to the IRS.

What information must be reported on this form must be?

Information such as total income, deductions, and credits must be reported on this form.