Observership / Externship Form On-Site Externship Remote Externship First name Last name Email Phone Number On-Site Externship Date Requested:April 3, 2023June 5, 2023Applicants for the on-site externship will be asked to interview (please choose your preference) In-personVideo CallPlease provide a brief personal statement regarding your expectations USMLE ID Vaccination record for Hep B and COVID-19 Curriculum Vitae Copy of passport Medical school diploma First name Last name Email Phone Number Remote Externship Date Requested: January 30, 2023February 27, 2023April 3, 2023May 1 2023June 5 2023July 3 2023July 31, 2023Aug 28, 2023 Curriculum Vitae Copy of passport Medical school diploma