Summer Fellowship Application

Summer Fellowship Application

Quality Improvement and Research Fellowship Applications must include the following:

A Curriculum Vitae. (PDF)
A formal Letter of Interest. The letter should be 300 words or less, specific to the fellowship you are applying for, and include your name. (PDF)
Vaccination Records (MMR, Varicella, Hepatitis B) or Titers showing immunity.
Tuberculosis Test (within five years).

We look forward to reviewing your Quality Improvement and Research Fellowship applications. Please email medicalstudents@westernreservehospital.org with any questions.

Student First and Last Name*

Fellowship Program*

Select

E-mail Address*

Phone Number*

Completion of MS1 Attestation*

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

MMR Vaccine*

Date of your last MMR vaccination. Vaccination records showing two doses or titers showing immunity must be attached.

Varicella Vaccine*

Date of your last Varicella vaccination. Vaccination records showing two doses or titers showing immunity must be attached.

Hepatitis B Vaccine*

Date of your last Hepatitis B vaccination. Vaccination records showing three doses or titers showing immunity must be attached.

Tuberculosis Test*

Date of your most recent TB test. Proof of tuberculosis testing within 5 years must be attached.

File Upload*

Please upload the following:

CV (PDF)
Formal Letter of Interest (No more than 300 words, PDF)
Vaccination Records or Titers

MMR
Varicella
Hepatitis B
Tuberculosis Test

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