2023 UCSF VIRTUAL VISITING ELECTIVE SCHOLARSHIP PROGRAM (VESP) APPLICATION

Some programs might be having a virtual VESP program so please fill out this application if you are interested and we will notify you if so.


If you are applying for an elective in Emergency Medicine, General Surgery, Radiology, Orthopedic Surgery, or Urology DO NOT APPLY HERE.



See below for a link to their separate respective scholarship programs.



Emergency Medicine:

http://emergency.ucsf.edu/visiting-elective-scholarship-program



General Surgery:

https://surgery.ucsf.edu/education-training/medical-students/haile-t-debas-diversity-fellowship.aspx


Orthopedic Surgery:

https://orthosurgery.ucsf.edu/education/medical-students


Radiology:

https://radiology.ucsf.edu/about/diversity/REDR-program



Urology:

https://urology.ucsf.edu/education/residency/sub-internship-information



Please continue if you are applying for an elective that is not in any of the above-mentioned specialties.

 

NOTE:

If you do not finish the application, your responses will NOT be saved. You will need to return and start the application again.


Please fill in the following information:

 

Please type your first name in the textbox below.

 

Please type your last name in the textbox below.

 
 
mm/dd/yyyy
 

Please type your current address in the textbox below. (Street, City, State, Zip)

 
 

Please type your preferred email address in the textbox below.

 

Please share an alternate email address in the textbox below.

 

Please enter a valid US phone number (XXX-XXX-XXXX) in the textbox below.

 

Please enter a valid US phone number (XXX-XXX-XXXX) in the textbox below.

 

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A disability is defined as a physical or mental impairment that substantially limits one or more major life activities. Please select from the options below.

 

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Please select all that apply from the options below.

 

Ie. Vietnamese, Mexican, Samoan, Prefer not to disclose

 

Please share with us how you came to know about the UCSF Visiting Electing Scholarship Program (VESP).

 
 
 
 

Current CV) Please upload your current CV in a PDF format.

Drop your files here
 

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