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Campus Elective Rotation Request and Authorization (Form) (Submit to DID via Medical Educations Administrative Director, Resident/Student Services) Date of Request Resident/fellow Name Resident/fellow
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How to fill out off-campus elective rotation request

01
Step 1: Obtain the off-campus elective rotation request form from your educational institution.
02
Step 2: Read and understand the instructions provided on the form.
03
Step 3: Fill out your personal details including name, contact information, and student ID number.
04
Step 4: Provide the details of the off-campus elective rotation, including the name of the institution or facility, location, and duration of the rotation.
05
Step 5: If required, include the name and contact information of your preceptor or supervisor at the off-campus site.
06
Step 6: Complete any additional sections or questions on the form as required.
07
Step 7: Review your completed form for accuracy and completeness.
08
Step 8: Submit the off-campus elective rotation request form to the designated office or department at your educational institution.
09
Step 9: Follow up with the office or department to ensure that your request has been received and processed.
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Step 10: If approved, make necessary arrangements and preparations for your off-campus elective rotation.

Who needs off-campus elective rotation request?

01
Students in educational institutions who are required to complete off-campus elective rotations as part of their curriculum or training.
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Off-campus elective rotation request is a formal request submitted by students to participate in an elective rotation at a location outside of the main campus or affiliated facilities.
All students who wish to partake in an elective rotation at an off-campus location are required to file an off-campus elective rotation request.
To fill out an off-campus elective rotation request, students must provide information about the elective rotation location, duration, preceptor details, and learning objectives.
The purpose of the off-campus elective rotation request is to ensure that students have approval and oversight for participating in elective rotations at off-campus locations.
Information such as elective rotation location, duration, preceptor details, and learning objectives must be reported on the off-campus elective rotation request.
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