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Alzheimer's Disease Summer Externship: 2016 Application

Who can apply: Medical students who will have completed their first year of medical school (by the summer of 2016) at the University of Wisconsin Medical School (Madison).

 

Application Process/Deadline: Fill in and submit the online application below by Friday, March 11, 2016. We will contact potential candidates for interviews beginning that week.

 

 

Name:

 

Phone:

 

Email:

 

Current mailing address (street, city state zip):

 

Permanent address (street, city state zip):

 

Best way to contact me phone or email):

 

Best time to reach me:

 

Why would you like to participate in the Alzheimer’s Disease Summer Externship?

 

What specific medical activities and procedures do you hope to participate in or observe during the externship?

 

What ancillary activities of a physician (community involvement, nursing home visits) do you hope to experience during the externship?

 

What do you hope to get out of this experience for your personal and professional development?

 

What is your experience with the elderly? People with Alzheimer's disease?

 

Do you have special interests you would like us to be aware of?

 

The externship involves travel between multiple communities in Wisconsin (Madison, Milwaukee, Richland Center and Rhinelander). We will provide housing during your time in Rhinelander. You will need to commute during your time in Richland Center and Milwaukee. Do you have a vehicle to get you to these locations?

 

Is there anything else you would like to share with us?

 

 

 

 

 

Please contact Heidi Pophal at 608-829-3312 or hpophal@wisc.edu for more information on the Alzheimer's Disease Summer Externship.

 

 

 

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