DIRECTIONS
1: This form is only for the application for an away clinical elective (defined as an elective listed in the host school's/institution's course catalog).
2: You may only complete this form after the host school/institution has accepted you for the elective.
3: In order to submit this form, you must attach PDF copies of the catalog description of the elective, as well as your proof of acceptance from the host school/institution.
4: After your elective ends: It is your responsibility to make sure that your elective is graded. Complete the student portion of the Elective Grade/Evaluation Form at the end of your rotation which will be automatically emailed to the evaluator email you submit.