Sign up for Teaching Opportunities

Please complete this form to volunteer for medical student teaching opportunities.

General Information

All fields are required.

First Name: *

Last Name: *

Clinic: *

Address: *

City: *

State: *

Zip Code: *

Phone: *

Email: *

Primary Care Clerkship (PCC)

2. Check all rotations in which you are available to teach:

Note: Preceptors are scheduled for 3-4 half days per week for 8 weeks.

4. I would like more info about serving as an exam assessor at: Year end Professional Skills Assessment Exam (YEPSA) (half day):

Yes

No thanks

MEDiC Clinics Attending Volunteer

1. Check all times you are available:

South Side Clinic (Saturdays, 9:00 AM-12:30 PM)

Grace (Tuesdays, 7:45-10:00 PM)

Salvation Army (Tuesdays, 6:40-10:00 PM)

Comments / Questions

Additional comments or questions?:

Updated: April 07, 2011 by admin

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Last updated: April 07, 2011