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Country of Citizenship* ArubaAfghanistanAngolaAlbaniaAndorraUnited Arab EmiratesArgentinaArmeniaAmerican SamoaAntigua and BarbudaAustraliaAustriaAzerbaijanBurundiBelgiumBeninBurkina FasoBangladeshBulgariaBahrainBahamasBosnia and HerzegovinaBelarusBelizeBermudaBolivia, Plurinational State ofBrazilBarbadosBrunei DarussalamBhutanBotswanaCentral African RepublicCanadaSwitzerlandChileChinaCôte d'IvoireCameroonCongo, Democratic Republic of theCongoCook IslandsColombiaComorosCabo VerdeCosta RicaCubaCayman IslandsCyprusCzechiaGermanyDjiboutiDominicaDenmarkDominican RepublicAlgeriaEcuadorEgyptEritreaSpainEstoniaEthiopiaFinlandFijiFranceMicronesia, Federated States ofGabonUnited Kingdom of Great Britain and Northern IrelandGeorgiaGhanaGuineaGambiaGuinea-BissauEquatorial GuineaGreeceGrenadaGuatemalaGuamGuyanaHong KongHondurasCroatiaHaitiHungaryIndonesiaIndiaIrelandIran, Islamic Republic ofIraqIcelandIsraelItalyJamaicaJordanJapanKazakhstanKenyaKyrgyzstanCambodiaKiribatiSaint Kitts and NevisKorea, Republic ofKuwaitLao People's Democratic RepublicLebanonLiberiaLibyaSaint LuciaLiechtensteinSri LankaLesothoLithuaniaLuxembourgLatviaMoroccoMonacoMoldova, Republic ofMadagascarMaldivesMexicoMarshall IslandsNorth MacedoniaMaliMaltaMyanmarMontenegroMongoliaMozambiqueMauritaniaMauritiusMalawiMalaysiaNamibiaNigerNigeriaNicaraguaNetherlands, Kingdom of theNorwayNepalNauruNew ZealandOmanPakistanPanamaPeruPhilippinesPalauPapua New GuineaPolandPuerto RicoKorea, Democratic People's Republic ofPortugalParaguayPalestine, State ofQatarRomaniaRussian FederationRwandaSaudi ArabiaSudanSenegalSingaporeSolomon IslandsSierra LeoneEl SalvadorSan MarinoSomaliaSerbiaSouth SudanSao Tome and PrincipeSurinameSlovakiaSloveniaSwedenEswatiniSeychellesSyrian Arab RepublicChadTogoThailandTajikistanTurkmenistanTimor-LesteTongaTrinidad and TobagoTunisiaTürkiyeTuvaluTaiwan, Province of ChinaTanzania, United Republic ofUgandaUkraineUruguayUnited States of AmericaUzbekistanSaint Vincent and the GrenadinesVenezuela, Bolivarian Republic ofVirgin Islands, BritishVirgin Islands, U.S.Viet NamVanuatuSamoaYemenSouth AfricaZambiaZimbabwe
Do you have a visa?*
—Please choose an option—I'm an American citizen.I'm a legal resident.I have a visa.I will need a visa.

How did you hear about International Clinical Clerkships?*
Name of University/Medical School*

US Clinical Experience Information

USCE Areas of Interest*

I am applying for:*
—Please choose an option—ClerkshipExternshipOther

Additional Preferences

Desired Start Date*

Additional Requests*
—Please choose an option—Homestay PlacementAirport Pick UpNeither, only clinical rotation

Document Uploads

Please upload the following documents (PDF, DOC, or image formats, max 5MB each):

Passport or State ID*

CV or Resume*

Police Letter of Good Standing*

Transcripts or Letter of Good Standing*

Required Before Starting

If you do not have these, we will help arrange testing.

Proof of Hepatitis B Immunity

Proof of MMR Immunity

Physical Exam (within 12 months)

PPD Test or Chest X-ray

Application Policy

Please confirm your understanding:

I understand the $150 application fee is non-refundable and does not guarantee placement.
I understand my application won’t be processed until the fee is confirmed.
I agree to pay a $300 deposit to secure my placement.
I will provide all required documentation before processing begins.
I understand visa approval is not guaranteed, and securing it is my responsibility.
I understand my options in case of visa denial and refund limitations.
I understand that withdrawal does not entitle me to a refund of the application fee.