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

Jan
31
Sat
2015
8:30 am POP – Hillsboro, OR @ Acumed Headquarters
POP – Hillsboro, OR @ Acumed Headquarters
Jan 31 @ 8:30 am – 3:30 pm
We are pleased to announce a Perry Outreach Program in Hillsboro, Oregon which will take place at Acumed Headquarters on January 31, 2015. We will be holding our POP event for high school students in the[...]
Feb
6
Fri
2015
4:30 pm MSOP – Winston-Salem, NC @ Wake Forest University
MSOP – Winston-Salem, NC @ Wake Forest University
Feb 6 @ 4:30 pm – 8:00 pm
We are pleased to announce a Medical Student Outreach Program in Winston-Salem, North Carolina which will take place at Wake Forest University on February 6, 2015. We will be holding our MSOP event for medical students in the greater Winston-Salem area. Women[...]
Feb
7
Sat
2015
8:30 am POP – Winston-Salem, NC @ Wake Forest University
POP – Winston-Salem, NC @ Wake Forest University
Feb 7 @ 8:30 am – 3:30 pm
We are pleased to announce a Perry Outreach Program in Winston-Salem, North Carolina, which will take place at Wake Forest University on February 7, 2015. We will be holding our POP event for high school students in[...]
Feb
20
Fri
2015
4:30 pm MSOP – Philadelphia, PA @ University of Pennsylvania
MSOP – Philadelphia, PA @ University of Pennsylvania
Feb 20 @ 4:30 pm – 8:00 pm
We are pleased to announce a Medical Student Outreach Program in Philadelphia, Pennsylvania which will take place at UPenn on February 20, 2015. We will be holding our MSOP event for medical students in the greater Philadelphia area. Women in first and[...]
Feb
21
Sat
2015
8:30 am POP – Philadelphia, PA @ University of Pennsylvania
POP – Philadelphia, PA @ University of Pennsylvania
Feb 21 @ 8:30 am – 3:30 pm
We are pleased to announce a Perry Outreach Program in Philadelphia, Pennsylvania which will take place at University of Pennsylvania on February 21, 2015. We will be holding our POP event for high school students in the[...]

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