Visiting Student Learning Opportunities Contact Form

First Name:

Last Name:

Email Address:

Phone

Which best describes you:

AAMC ID

Institution Name

Reason for contacting us:

The Yale Free Movers program is intended for final year medical students whose home institution currently does not participate in VSLO and are interested in applying to and pursue a clinical elective at the Yale School of Medicine. The information you provide will be kept on a secure server and personally, identifiable information will not be shared outside the VSLO or the AAMC.By completing this form. you are consenting to have a VSLO account created for you using such information provided. You are only eligible to apply to Yale School of Medicine's electives. If you apply for elective at institutions other than Yale School of Medicine, those applications will not be released and you will not be refunded the fees you have paid for those applications.

Home Institution Name

Institution City

Institution Country

Expected Graduation Date

Once you click submit, your response will be sent to our VSLO Client Support Team to enable access to the application service. It may take up to 3-5 business days for you to receive access. The invitation to access our application service will expire within 28 days.

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Visiting Student Learning Opportunities Contact Form

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