Application (Partner Institutions) » Global Health Education Program » College of Medicine

Exchange Student Application

If you are a student with a foreign institution interested in applying for a clinical rotation at the University of Florida at either Gainesville or Jacksonville, please complete the following form.

Name*
Your Full Name
Date of Birth*
Gender*
Citizenship*
Your country of citizenship
University*
The University you are currently enrolled at
City, Country*
City and Country of your current University
Proposed Start and End Dates*
The proposed dates you would like to start and finish your rotation.
Clinical Electives Requested
Please list your top three choices for Clinical Electives. Catalog available at https://medcat.medinfo.ufl.edu/index.
UF Faculty Preceptor
If your time at UF is focused on research or other non-clinical activities, please list your UF Faculty Preceptor
Proposed Activities
If your time at UF is focused on research or other non-clinical activities, please list your Proposed Activities
Learning Objectives
If your time at UF is focused on research or other non-clinical activities, please list your learning objectives for the trip
CAPTCHA