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ISM ME REQUEST FOR FAMILY MEDICAL LEAVE OF ABSENCE (FMLA) (See information/requirements on page two before completing.) RESIDENT OR FELLOW (complete this section): Name: Program: Employee 10digit
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Who needs iusm gme request form:

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Medical students who are applying for graduate medical education (GME) programs at Indiana University School of Medicine (IUSM) or affiliated institutions.
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Current residents or fellows who are seeking a transfer or appointment changes within IUSM GME programs.
03
International medical graduates (IMGs) who may be applying for GME programs at IUSM or seeking residency sponsorship.
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IUSM GME request is for requesting Graduate Medical Education opportunities at Indiana University School of Medicine.
Medical students and graduates who are seeking GME opportunities at Indiana University School of Medicine are required to file IUSM GME request.
IUSM GME request can be filled out online through the official website of Indiana University School of Medicine.
The purpose of IUSM GME request is to apply for Graduate Medical Education programs offered by Indiana University School of Medicine.
The IUSM GME request must include personal information, educational background, medical training, and career goals of the applicant.
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