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Drop
Box in Edelstone for OSA Forms
A locked box is available near the kitchen in Edelstone
for students to drop off materials for OSA. Pick ups will be made once
a day, Monday to Friday. A supply of the most used forms and brown envelopes
is on a shelf below the mail box.
Frequently used forms
Student Request Form (SRF)
request letters
(good standing, jury duty, insurance, USMLE certification,recommendation),
immunization record updates, files/copies, alumni dean's letters, etc.
M4 Scheduling Form
Must be submitted 4 weeks prior to the start of the elective
May require supporting documents and signatures.
Statement
of Academic Eligibility Form (SAEF)
request approval of tuition waiver for graduate assistantships.
Change
of Address, phone or pager number via
UIC Student Access System -- UI-Integrate Student Self
Service.
This replaces the function of OSA's Student
Information Form (SIF).
Note
that all legal name changes must be processed in person with
the UIC Records and Admissions Office at 1200 West Harrison.
Alpha
list of forms
AOA
Medical Honor Society
see UIC Chapter of AOA website for application forms
CampusCare
Health Forms
Information on the CampusCare program is available at : http://www.uic.edu/hsc/campuscare/chicago.
Change
of Address, phone or pager number via
UIC Student Access System -- UI-Integrate Student Self
Service.
This replaces the function of OSA's Student
Information Form (SIF
ERAS
Cover sheet (required for letters
of recommendation used in the Electronic Residency Application
Service)
Faculty
Advising Program Forms
Gold
Humanism Honor Society
Background
of the national honor Society
Class of 2009 Application
Procedure
Class of 2009 Application Cover Sheet
Class of 2009 Application Volunteer and Service Summary
Immunization and Health
Certifications
update and report immunizations, etc.
Letter
of Recommendation Request
MSPE
Medical Student Performance Evaluation
(aka Dean's Letter)
Class of 2009 Student Intake
M1 Orientation
White Coat Ceremony
Ceremony
description and White Coat Order Form
(watch for new form for the incoming Class of 2011)
M4 Scheduling Form
Must be submitted 4 weeks prior to the start of the elective
May require supporting documents and signatures.
M4
Year Scheduling Worksheet for Class of 2008
Overseas
Travel Support
- KM
Tan Scholarship Application
Exciting new opportunity to support overseas travel for electives!
The Dr.
KM Tan Traveling Fellowship of $2500 will be given to each of
two students based on a competitive essay. Deadline is November 1. The elective can have
taken place anytime during the academic year.
- Richardson
Scholarship Application
Travel
for overseas rotations. Details and application (pdf) Deadline is November 1.
Professionalism Forms
Scheduling
scheduling and track assignments
Statement
of Academic Eligibility Form (SAEF)
request approval of tuition waiver for graduate assistantships
Student
Request Form (SRF)
request letters
(good standing, jury duty, insurance, USMLE certification,recommendation),
immunization record updates, files/copies, alumni dean's letters, etc.
Summer
Community Service Project Funding
Application
form for individuals or groups seeking up to $250 for community
service projects.
Summer
Research Fellowship Program
(aka
Craig Fellowship)
Apply
for an opportunity to conduct research in laboratories of College
of Medicine research faculty. Stipends of $2,700 are provided for the
student.
Visiting
Student Program
Instructions
for students from LCME-approved, osteopathic, and affiliated foreign
institutions who have completed five core clerkships.
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