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

Oct
3
Fri
2014
4:30 pm MSOP – Little Rock, AR @ UAMS
MSOP – Little Rock, AR @ UAMS
Oct 3 @ 4:30 pm – 8:00 pm
We are pleased to announce a Medical Student Outreach Program in Little Rock, Arkansas which will take place at UAMS on October 3, 2014. We will be holding [...]
Oct
4
Sat
2014
8:30 am POP – Little Rock, AR @ UAMS
POP – Little Rock, AR @ UAMS
Oct 4 @ 8:30 am – 3:30 pm
We are pleased to announce a Perry Outreach Program in Little Rock, AR which will take place at UAMS on October 4, 2014. We will be holding [...]
Oct
11
Sat
2014
8:30 am POP – Kansas City, MO @ UMKC School of Medicine
POP – Kansas City, MO @ UMKC School of Medicine
Oct 11 @ 8:30 am – 3:30 pm
We are pleased to announce a Perry Outreach Program in Kansas City, MO which will take place at UMKC School of Medicine on October 11, 2014. We [...]
Oct
18
Sat
2014
8:30 am POSTPONED POP – Ft Lauderdale, FL @ Stryker South Florida
POSTPONED POP – Ft Lauderdale, FL @ Stryker South Florida
Oct 18 @ 8:30 am – 3:30 pm
This program has been postponed to Spring 2015. Check back here for more details soon.    We are pleased to announce a Perry Outreach Program [...]
Oct
25
Sat
2014
8:30 am POP – Houston, TX @ Baylor College of Medicine
POP – Houston, TX @ Baylor College of Medicine
Oct 25 @ 8:30 am – 3:30 pm
We are pleased to announce a Perry Outreach Program in Houston, TX which will take place at Baylor College of Medicine on October 25, 2014. We will [...]

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