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

Nov
1
Sat
2014
8:30 am POP – Baltimore, MD @ Johns Hopkins University School of Medicine
POP – Baltimore, MD @ Johns Hopkins University School of Medicine
Nov 1 @ 8:30 am – 3:30 pm
We are pleased to announce a Perry Outreach Program in Baltimore, Maryland which will take place at Johns Hopkins School of Medicine on November 1, 2014. We will be holding our POP event for high school students[...]
11:00 am Special Event – Bay Area Science... @ AT&T Park
Special Event – Bay Area Science... @ AT&T Park
Nov 1 @ 11:00 am – 4:00 pm
We are very excited to participate in the Bay Area Science Festival Discovery Days at AT&T Park in San Francisco on 11/1/14. Discovery Days is free to the public, runs from 11:00am-4:00pm, and is part[...]
Nov
7
Fri
2014
4:30 pm MSOP – Durham, NC @ Duke School of Medicine
MSOP – Durham, NC @ Duke School of Medicine
Nov 7 @ 4:30 pm – Nov 7 @ 8:00 pm
We are pleased to announce a Medical Student Outreach Program in Durham, North Carolina which will take place at Duke School of Medicine on November 7, 2014. We will be holding our MSOP event for medical students in[...]
Nov
8
Sat
2014
8:30 am POP – Durham, NC @ Duke School of Medicine
POP – Durham, NC @ Duke School of Medicine
Nov 8 @ 8:30 am – 3:30 pm
We are pleased to announce a Perry Outreach Program in Durham, North Carolina which will take place at Duke School of Medicine on November 8, 2014. We will be holding our POP event for high school students in[...]
Nov
15
Sat
2014
8:30 am POP – Omaha, NE @ UNMC
POP – Omaha, NE @ UNMC
Nov 15 @ 8:30 am – 3:30 pm
We are pleased to announce a Perry Outreach Program in Omaha, Nebraska which will take place at University of Nebraska Medical Center on November 15, 2014. We will be holding our POP event for high school students[...]

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