Summer Fellowship Applications

We look forward to reviewing your application for our Quality Improvement and/or Research Fellowship. Please complete this form in its entirety and email medicalstudents@westernreservehospital.org with any questions regarding the fellowships or application process.

Student First and Last Name*

Which fellowship program are you interested in?*

If you select 'both' please be sure to submit statements of interest for each program.

Select

E-mail Address*

Phone Number*

Attestation*

By checking this box, I attest I will have completed my MS1 year of medical school before starting the summer fellowship. Letter of completion may be requested upon selection for the fellowship position.

Letter of Interest*

Please attach your letter(s) of interest to this form and check the box below. No more than 300 words. If you are applying to both Research and Quality fellowships, please attach a unique letter for each fellowship.

CV*

Please attach your CV to this form and check the box below.

TB*

Date of your most recent TB test. Proof of TB testing must be submitted in the attachments.

MMR*

Date of your last MMR vaccine. Proof of vaccination or titers must be submitted in the attachments.

Flu Shot*

Date of your most recent flu shot. Proof of vaccination must be submitted in the attachments.

COVID Vaccination*

Date of your latest COVID vaccination or booster. Proof of vaccination must be submitted in the attachments.

File Upload*

Be sure you have uploaded: -Letter(s) of Interest -Updated CV -TB results -MMR and Flu Immunizations -COVID Vaccination Card (required for all medical student rotators)

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