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GLOBAL HEALTH ELECTIVE REQUEST FORM FOR RESIDENTS David Geffen School of Medicine at UCLAINFORMATION FOR APPLICANTS:All applications for Global Health Electives must be approved by your Program Director
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How to fill out global health elective request

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How to fill out global health elective request

01
Begin by obtaining a global health elective request form from your institution or program coordinator.
02
Fill out your personal information including your name, contact information, and student ID number.
03
Provide details about the global health elective you are requesting. Include the desired location, dates, and duration of the elective.
04
Outline your goals and objectives for the elective. Explain why you are interested in this particular opportunity and how it aligns with your academic and career goals.
05
If required, provide information about any relevant language proficiency or necessary vaccinations.
06
Indicate any special accommodations or requests you may have, such as dietary or accessibility needs.
07
Review the completed form for accuracy and completeness.
08
Submit the form to your institution or program coordinator within the designated timeline.
09
Keep a copy of the form for your records.
10
Follow up with your institution or program coordinator to confirm receipt of the request and to inquire about the status of your application.

Who needs global health elective request?

01
Any medical or healthcare student who is interested in gaining global health experience and expanding their knowledge and skills in an international setting may need to fill out a global health elective request. This could include medical students, nursing students, public health students, and other related disciplines. The request helps facilitate the process of securing a global health elective placement and ensures that the necessary arrangements and support are provided during the elective period.

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