Medical Student Outreach Program (MSOP) Application

Application Review & Selection Process

  • This application is for use by medical students (MS-I and MS-II) ONLY. If you are a high school or college student, please use the “High School Student Application” available using the menu above.  High school and undergraduate applicants using this form will not be admitted to ANY Perry program.
  • Applicants must gender-identify as female.
  • Applicants are accepted on a first-come, first-served basis.
  • In most cases, online applications close 30 days before program date to allow for appropriate planning. Please note due date for applications for each program.  If space still remains in the program, applications will still be accepted up to the day before the program date.
  • All applicants will be contacted within 12 days of program date with additional information about their program (appropriate attire, exact address, etc.). Please make sure your contact information is correct in your application.
  • This Waiver form is provided for you to read in advance of the program. If you are accepted and choose to attend, you must bring a signed copy of this waiver with you to the program. Please note that you will not be allowed to participate in the program if you do not bring a signed waiver with you.

 

Medical Student Outreach Program (MSOP) Application

This form is to be completed by current medical students interested in participating in our Medical Student Outreach Program.
  • Please choose a program location from the dropdown menu above.
  • Please choose a program location from the dropdown menu above.
  • Please provide the name of a local person whom we may contact in the case of an emergency during the program.
  • Please provide a number for a local person whom we may contact in the case of an emergency during the program.
    Please indicate your current year in medical school
  • Please tell us the name of the medical school you currently attend.

Upcoming Events

Sep
19
Fri
2014
4:30 pm USOP – Newark, DE @ STAR Campus
USOP – Newark, DE @ STAR Campus
Sep 19 @ 4:30 pm – 8:00 pm
We are pleased to announce an Undergraduate Student Outreach Program in Newark, DE which will take place at the STAR Campus at University of Delaware on [...]
Sep
20
Sat
2014
8:30 am POP – Newark, DE @ STAR Campus
POP – Newark, DE @ STAR Campus
Sep 20 @ 8:30 am – 3:30 pm
We are pleased to announce a Perry Outreach Program in Newark, DE which will take place at the STAR Campus at University of Delaware on September [...]
8:30 am POP – Phoenix, AZ @ Mayo Clinic Arizona
POP – Phoenix, AZ @ Mayo Clinic Arizona
Sep 20 @ 8:30 am – 3:30 pm
We are pleased to announce a Perry Outreach Program in Phoenix, AZ which will take place at Mayo Clinic Arizona on September 20, 2014. We [...]
Sep
26
Fri
2014
4:30 pm MSOP – Oklahoma City, OK @ UAMS
MSOP – Oklahoma City, OK @ UAMS
Sep 26 @ 4:30 pm – 8:00 pm
We are pleased to announce a Medical Student Outreach Program in Oklahoma City, OK which will take place at OSSM on September 26, 2014. We will be holding [...]
Sep
27
Sat
2014
8:30 am POP – Oklahoma City, OK @ Oklahoma School for Science and Math
POP – Oklahoma City, OK @ Oklahoma School for Science and Math
Sep 27 @ 8:30 am – 3:30 pm
We are pleased to announce a Perry Outreach Program in Oklahoma City, OK which will take place at the Oklahoma School for Science and Math on September [...]

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