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International Health student experience submission form

Please use the form below to submit each of your experiences in international medicine for inclusion in the MSS International Health Student Experiences Database.

*Asterisk indicates required field.

*Name

*Medical school/ Residency program

*Country of international medicine experience

City of international medicine experience

*Experience type

*Year of experience

*Year in medical school or residency at time of experience

*Did you receive academic credit for your experience?

*Area of focus

*Please describe your experience in 150 or fewer words.
This description will appear on the MSS Web site.

Contact information
You may include personal contact information (e-mail) and/or contact information for an organization (e-mail or Web site). This information will appear on the MSS Web site.

Your e-mail address will not be shared, sold, traded, exchanged, or rented. See our Privacy Policy for more information.

Last updated: Sep 18, 2007
Content provided by: Medical Student Section