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

Apr
11
Sat
2015
8:30 am POP – Shawano, WI @ Shawano Community High School
POP – Shawano, WI @ Shawano Community High School
Apr 11 @ 8:30 am – 3:30 pm
We are pleased to announce a Perry Outreach Program in Shawano, WI which will take place at Shawano Community High School on April 11, 2015. We will be holding our POP event for high school students in[...]
Apr
17
Fri
2015
4:30 pm MSOP – St Louis, MO @ St Louis University
MSOP – St Louis, MO @ St Louis University
Apr 17 @ 4:30 pm – 8:00 pm
We are pleased to announce a Medical Student Outreach Program in St Louis, MO which will take place at St Louis University on April 17, 2015. We will be holding our MSOP event for medical students in the greater St Louis area. Women[...]
Apr
18
Sat
2015
8:30 am POP – St Louis, MO @ St Louis University
POP – St Louis, MO @ St Louis University
Apr 18 @ 8:30 am – 3:30 pm
We are pleased to announce a Perry Outreach Program in St Louis, MO which will take place at St Louis University on April 18, 2015. We will be holding our POP event for high school students in[...]
Apr
25
Sat
2015
8:30 am POP – New Orleans, LA @ Tulane University
POP – New Orleans, LA @ Tulane University
Apr 25 @ 8:30 am – 3:30 pm
We are pleased to announce a Perry Outreach Program in New Orleans which will take place at Tulane University on April 25, 2015. We will be holding our POP event for high school students in the greater[...]
8:30 am POP – New York City, NY @ Hospital for Special Surgery
POP – New York City, NY @ Hospital for Special Surgery
Apr 25 @ 8:30 am – 3:30 pm
We are pleased to announce a Perry Outreach Program in New York City which will take place at Hospital for Special Surgery on April 25, 2015. We will be holding our POP event for high school students[...]

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