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Forms - Medical Students
UT MSPE Format (click on the hyperlink to view the MSPE format)
Visiting Student Application Form for International Medical Students (Note: Allopathic and Osteopathic Medical Students should submit forms via VSAS.) -- Click on the link to the right to download the pdf form. You can complete information online, print, and secure signatures from your school's officials (Dean's Office) and have them affix the school seal.
For students interested in electives in the following departments, complete the online short forms by clicking the Left-Hand Links and submitting them directly to the department online before applying through VSAS or the pdf form above:
Emergency Medicine
Housing Request Click here if you need to request housing for your student rotation - Complete and submit the Housing Assginment Guidelines First priority is to 3rd year UT students Second priority is to 4th year UT students
Since we frequently have more than 28 students, it helps if students from the Chattanooga area stay with friends or family to maximize available housing.
*UT Students who intend to complete most of their Clerkship and Elective rotations in Chattanooga should obtain their own housing at their expense.
*If students have friends or family in the Chattanooga area, we expect them to utilize this option. This will help to provide student housing for those who do not have any other option.
*We do not begin reviewing the student housing roster until thirty (30) days prior to the beginning of the rotation. If we see any sign of housing limitations, we will notify you IMMEDIATELY. If you do not hear back from Courtney Orloski immediately, you will receive a "Welcome" email approximately 7-10 days prior to the beginning of the rotation, which will include detailed check-in and Orientation instructions.
Please complete all the forms listed below --
As soon as you have scheduled and been approved for a medical student rotation in Chattanooga (via the UT Student Scheduling System), please complete the following forms:
FORMS TO COMPLETE AND SUBMIT ONCE YOUR ROTATION HAS BEEN SCHEDULED (FOR UT STUDENTS) OR APPROVED (FOR NON-UT STUDENTS) AND BEFORE YOU ARRIVE IN CHATTANOOGA.
If you are staying in the Hayden Place Apartments, please complete the following:
At the end of each block, we ask that you complete an evaluation form to provide feedback about the rotation and overall Chattanooga experience:
At the end of your rotations in Chattanooga, you must complete the following and return your photo ID, pager, meal card, Erlanger Security access card and parking pass used in your car, as well as complete:
THANK YOU
Revised: 02/07/2019 |